Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.42 / $55.42 / $89.70	Professional		$55.42	$55.42	$89.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.30 / $23.30 / $36.72	Professional	26	$23.30	$23.30	$36.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.11 / $32.11 / $52.97	Professional	TC	$32.11	$32.11	$52.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.99 / $105.73 / $197.17	Professional		$26.99	$105.73	$197.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.07 / $43.59 / $79.06	Professional	26	$11.07	$43.59	$79.06
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.92 / $62.13 / $78.84	Professional	TC	$15.92	$62.13	$78.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.68 / $67.09 / $141.38	Professional		$53.68	$67.09	$141.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.93 / $26.97 / $104.21	Professional	26	$16.93	$26.97	$104.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.27 / $40.15 / $100.73	Professional	TC	$25.27	$40.15	$100.73
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $58.66 / $96.82 / $148.52	Professional		$58.66	$96.82	$148.52
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $32.97 / $39.58 / $71.59	Professional	26	$32.97	$39.58	$71.59
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $50.70 / $60.84 / $110.06	Professional	TC	$50.70	$60.84	$110.06
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $55.42 / $61.36 / $173.47	Professional		$55.42	$61.36	$173.47
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $23.30 / $25.12 / $100.21	Professional	26	$23.30	$25.12	$100.21
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $32.11 / $40.15 / $93.85	Professional	TC	$32.11	$40.15	$93.85
United Facility/Professional Professional Modifier Low / Median / High Price $40.96 / $72.43 / $166.32	Professional		$40.96	$72.43	$166.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.00 / $39.58 / $49.30	Professional	26	$28.00	$39.58	$49.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.99 / $54.30 / $96.38	Professional	TC	$24.99	$54.30	$96.38