Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $54.95 / $89.13	Professional		$44.67	$54.95	$89.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $28.18 / $199.53	Professional	26	$20.89	$28.18	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $32.36 / $52.48	Professional	TC	$26.92	$32.36	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $104.71 / $128.82	Professional		$26.30	$104.71	$128.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $43.65 / $117.49	Professional	26	$22.39	$43.65	$117.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $61.66 / $77.62	Professional	TC	$15.85	$61.66	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $66.07 / $204.17	Professional		$53.70	$66.07	$204.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $26.92 / $104.71	Professional	26	$21.88	$26.92	$104.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $39.81 / $100.00	Professional	TC	$31.62	$39.81	$100.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $186.21	Professional		$81.28	$100.00	$186.21
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $38.90 / $69.18	Professional	26	$32.36	$38.90	$69.18
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $60.26 / $112.20	Professional	TC	$48.98	$60.26	$112.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $87.10 / $173.78	Professional		$50.12	$87.10	$173.78
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $34.67 / $199.53	Professional	26	$22.91	$34.67	$199.53
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $47.86 / $95.50	Professional	TC	$28.84	$47.86	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $186.21	Professional		$64.57	$97.72	$186.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $40.74 / $72.44	Professional	26	$15.85	$40.74	$72.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $57.54 / $112.20	Professional	TC	$25.12	$57.54	$112.20