Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $46.77 / $85.11	Professional		$33.11	$46.77	$85.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $20.89 / $77.62	Professional	26	$14.13	$20.89	$77.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $28.18 / $52.48	Professional	TC	$18.20	$28.18	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $112.20 / $154.88	Professional		$26.92	$112.20	$154.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $39.81 / $46.77	Professional	26	$10.47	$39.81	$46.77
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $72.44 / $109.65	Professional	TC	$16.60	$72.44	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $81.28 / $181.97	Professional		$58.88	$81.28	$181.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $31.62 / $61.66	Professional	26	$19.95	$31.62	$61.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $53.70 / $120.23	Professional	TC	$29.51	$53.70	$120.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $234.42	Professional		$102.33	$125.89	$234.42
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $36.31 / $67.61	Professional	26	$29.51	$36.31	$67.61
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $87.10 / $165.96	Professional	TC	$72.44	$87.10	$165.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $77.62 / $154.88	Professional		$39.81	$77.62	$154.88
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $27.54 / $79.43	Professional	26	$15.14	$27.54	$79.43
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $52.48 / $97.72	Professional	TC	$25.12	$52.48	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $107.15 / $234.42	Professional		$64.57	$107.15	$234.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $37.15 / $67.61	Professional	26	$14.45	$37.15	$67.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $63.10 / $165.96	Professional	TC	$34.67	$63.10	$165.96