Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.30 / $56.30 / $56.30	Professional		$56.30	$56.30	$56.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.25 / $21.25 / $21.25	Professional	26	$21.25	$21.25	$21.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.04 / $35.04 / $58.04	Professional	TC	$35.04	$35.04	$58.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $112.28 / $178.63	Professional		$29.90	$112.28	$178.63
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.10 / $39.79 / $46.41	Professional	26	$10.10	$39.79	$46.41
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.80 / $72.48 / $108.72	Professional	TC	$19.80	$72.48	$108.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $78.80 / $114.64	Professional		$38.86	$78.80	$114.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $26.63 / $57.51	Professional	26	$15.49	$26.63	$57.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.55 / $54.11 / $112.69	Professional	TC	$27.55	$54.11	$112.69
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $103.87 / $124.64 / $225.48	Professional		$103.87	$124.64	$225.48
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $30.50 / $36.60 / $66.20	Professional	26	$30.50	$36.60	$66.20
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $73.37 / $88.04 / $159.27	Professional	TC	$73.37	$88.04	$159.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $56.30 / $56.30 / $75.56	Professional		$56.30	$56.30	$75.56
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $21.25 / $21.25 / $23.18	Professional	26	$21.25	$21.25	$23.18
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $35.04 / $52.40 / $58.04	Professional	TC	$35.04	$52.40	$58.04
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $89.06 / $168.96	Professional		$48.98	$89.06	$168.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.51 / $36.77 / $47.46	Professional	26	$25.51	$36.77	$47.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.42 / $52.29 / $105.18	Professional	TC	$34.42	$52.29	$105.18