Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $331.13	Professional		$120.23	$151.36	$331.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $57.54 / $125.89	Professional	TC	$41.69	$57.54	$125.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $208.93 / $257.04	Professional		$134.90	$208.93	$257.04
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $75.86 / $91.20	Professional	TC	$50.12	$75.86	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $363.08	Professional		$181.97	$245.47	$363.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $95.50 / $131.83	Professional	TC	$67.61	$95.50	$131.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $213.80 / $407.38	Professional		$177.83	$213.80	$407.38
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $77.62 / $151.36	Professional	TC	$66.07	$77.62	$151.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $204.17 / $588.84	Professional		$144.54	$204.17	$588.84
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $87.10 / $234.42	Professional	TC	$52.48	$87.10	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $204.17 / $380.19	Professional		$144.54	$204.17	$380.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $70.79 / $117.49	Professional	TC	$46.77	$70.79	$117.49