Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.29 / $56.30 / $105.54	Professional		$56.29	$56.30	$105.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.58 / $23.59 / $37.14	Professional	26	$23.58	$23.59	$37.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.71 / $32.71 / $68.40	Professional	TC	$32.71	$32.71	$68.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $105.18 / $208.89	Professional		$27.27	$105.18	$208.89
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.94 / $43.06 / $51.71	Professional	26	$10.94	$43.06	$51.71
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.34 / $62.13 / $93.46	Professional	TC	$16.34	$62.13	$93.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.81 / $67.79 / $86.90	Professional		$43.81	$67.79	$86.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.16 / $26.66 / $51.55	Professional	26	$17.16	$26.66	$51.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.72 / $43.03 / $93.38	Professional	TC	$25.72	$43.03	$93.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $114.46 / $175.59	Professional		$72.48	$114.46	$175.59
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $33.39 / $40.07 / $72.48	Professional	26	$33.39	$40.07	$72.48
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $65.54 / $75.83 / $142.27	Professional	TC	$65.54	$75.83	$142.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $56.29 / $72.20 / $170.81	Professional		$56.29	$72.20	$170.81
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $23.58 / $25.41 / $68.95	Professional	26	$23.58	$25.41	$68.95
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $32.71 / $51.82 / $110.70	Professional	TC	$32.71	$51.82	$110.70
United Facility/Professional Professional Modifier Low / Median / High Price $45.53 / $76.76 / $168.96	Professional		$45.53	$76.76	$168.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.97 / $33.39 / $51.02	Professional	26	$15.97	$33.39	$51.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.56 / $55.28 / $98.15	Professional	TC	$29.56	$55.28	$98.15