Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $57.54 / $97.72	Professional		$37.15	$57.54	$97.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $22.91 / $70.79	Professional	26	$15.14	$22.91	$70.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $36.31 / $60.26	Professional	TC	$20.89	$36.31	$60.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $104.71 / $144.54	Professional		$29.51	$104.71	$144.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $42.66 / $51.29	Professional	26	$12.02	$42.66	$51.29
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $61.66 / $93.33	Professional	TC	$17.78	$61.66	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $77.62 / $144.54	Professional		$53.70	$77.62	$144.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $26.92 / $91.20	Professional	26	$21.88	$26.92	$91.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $40.74 / $93.33	Professional	TC	$22.39	$40.74	$93.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $125.89 / $239.88	Professional		$69.18	$125.89	$239.88
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $39.81 / $75.86	Professional	26	$33.11	$39.81	$75.86
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $87.10 / $162.18	Professional	TC	$70.79	$87.10	$162.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $79.43 / $186.21	Professional		$56.23	$79.43	$186.21
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $41.69 / $91.20	Professional	26	$20.89	$41.69	$91.20
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $56.23 / $117.49	Professional	TC	$32.36	$56.23	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $120.23 / $234.42	Professional		$64.57	$120.23	$234.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $42.66 / $75.86	Professional	26	$15.85	$42.66	$75.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $70.79 / $162.18	Professional	TC	$29.51	$70.79	$162.18