Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $897.85 / $897.85 / $946.50	Professional		$897.85	$897.85	$946.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $791.39 / $791.39 / $840.02	Professional	TC	$791.39	$791.39	$840.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.17 / $1,217.67 / $1,802.65	Professional		$912.17	$1,217.67	$1,802.65
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $815.78 / $1,089.00 / $1,612.53	Professional	TC	$815.78	$1,089.00	$1,612.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,195.33 / $1,758.09 / $2,337.80	Professional		$1,195.33	$1,758.09	$2,337.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,074.52 / $1,589.26 / $2,111.25	Professional	TC	$1,074.52	$1,589.26	$2,111.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,162.40 / $1,344.90 / $2,523.34	Professional		$1,162.40	$1,344.90	$2,523.34
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $1,039.57 / $1,202.78 / $2,256.69	Professional	TC	$1,039.57	$1,202.78	$2,256.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $674.84 / $897.85 / $1,716.49	Professional		$674.84	$897.85	$1,716.49
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $791.39 / $840.02 / $3,088.84	Professional	TC	$791.39	$840.02	$3,088.84
United Facility/Professional Professional Modifier Low / Median / High Price $672.30 / $1,134.93 / $2,149.67	Professional		$672.30	$1,134.93	$2,149.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $691.20 / $1,012.24 / $1,907.02	Professional	TC	$691.20	$1,012.24	$1,907.02