Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $933.25	Professional		$173.78	$213.80	$933.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $173.78 / $758.58	Professional	TC	$134.90	$173.78	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $288.40 / $371.54	Professional		$204.17	$288.40	$371.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $229.09 / $295.12	Professional	TC	$162.18	$229.09	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $371.54 / $524.81	Professional		$257.04	$371.54	$524.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $295.12 / $426.58	Professional	TC	$208.93	$295.12	$426.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $295.12 / $575.44	Professional		$251.19	$295.12	$575.44
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $239.88 / $457.09	Professional	TC	$199.53	$239.88	$457.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $933.25	Professional		$213.80	$269.15	$933.25
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $229.09 / $776.25	Professional	TC	$169.82	$229.09	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $575.44	Professional		$245.47	$316.23	$575.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $251.19 / $363.08	Professional	TC	$199.53	$251.19	$363.08