Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $59.37 / $231.60	Professional		$52.52	$59.37	$231.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.49 / $40.58 / $63.25	Professional	26	$36.49	$40.58	$63.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $18.17 / $168.34	Professional	TC	$16.03	$18.17	$168.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.94 / $156.44 / $222.12	Professional		$132.94	$156.44	$222.12
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.94 / $52.98 / $74.40	Professional	26	$40.94	$52.98	$74.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $87.37 / $112.29 / $158.90	Professional	TC	$87.37	$112.29	$158.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.54 / $187.68 / $323.49	Professional		$116.54	$187.68	$323.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.02 / $67.33 / $90.72	Professional	26	$48.02	$67.33	$90.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.59 / $133.80 / $232.77	Professional	TC	$69.59	$133.80	$232.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $169.41 / $196.01 / $367.76	Professional		$169.41	$196.01	$367.76
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $49.46 / $57.23 / $107.37	Professional	26	$49.46	$57.23	$107.37
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $119.95 / $138.78 / $260.39	Professional	TC	$119.95	$138.78	$260.39
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $62.59 / $250.19	Professional		$52.52	$62.59	$250.19
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $36.49 / $42.06 / $88.22	Professional	26	$36.49	$42.06	$88.22
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $19.98 / $183.00	Professional	TC	$16.03	$19.98	$183.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.78 / $89.72 / $286.25	Professional		$71.78	$89.72	$286.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.94 / $68.00 / $94.29	Professional	26	$48.94	$68.00	$94.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.71 / $15.34 / $201.80	Professional	TC	$12.71	$15.34	$201.80