Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.96 / $169.78 / $236.17	Professional		$155.96	$169.78	$236.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.05 / $60.82 / $92.77	Professional	TC	$58.05	$60.82	$92.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.83 / $197.79 / $277.22	Professional		$152.83	$197.79	$277.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.60 / $69.52 / $102.36	Professional	TC	$53.60	$69.52	$102.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.86 / $239.24 / $340.06	Professional		$179.86	$239.24	$340.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $65.31 / $86.45 / $123.48	Professional	TC	$65.31	$86.45	$123.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $207.94 / $390.14	Professional		$131.16	$207.94	$390.14
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $66.36 / $76.78 / $144.05	Professional	TC	$66.36	$76.78	$144.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $155.96 / $164.61 / $169.78	Professional		$155.96	$164.61	$169.78
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $58.05 / $62.47 / $92.77	Professional	TC	$58.05	$62.47	$92.77
United Facility/Professional Professional Modifier Low / Median / High Price $144.38 / $218.04 / $377.46	Professional		$144.38	$218.04	$377.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.04 / $66.36 / $120.82	Professional	TC	$40.04	$66.36	$120.82