Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $42.66 / $75.86	Professional		$30.90	$42.66	$75.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $44.67 / $295.12	Professional	26	$21.88	$44.67	$295.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $15.14 / $25.70	Professional	TC	$12.02	$15.14	$25.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $87.10 / $107.15	Professional		$21.88	$87.10	$107.15
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $56.23 / $64.57	Professional	26	$15.14	$56.23	$64.57
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.32 / $30.90 / $41.69	Professional	TC	$8.32	$30.90	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $67.61 / $134.90	Professional		$43.65	$67.61	$134.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $41.69 / $85.11	Professional	26	$28.18	$41.69	$85.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $21.38 / $47.86	Professional	TC	$15.49	$21.38	$47.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $81.28 / $151.36	Professional		$40.74	$81.28	$151.36
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $50.12 / $93.33	Professional	26	$43.65	$50.12	$93.33
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $31.62 / $56.23	Professional	TC	$26.30	$31.62	$56.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $70.79 / $138.04	Professional		$34.67	$70.79	$138.04
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $56.23 / $199.53	Professional	26	$29.51	$56.23	$199.53
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $25.70 / $50.12	Professional	TC	$15.14	$25.70	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $81.28 / $151.36	Professional		$53.70	$81.28	$151.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $53.70 / $93.33	Professional	26	$20.42	$53.70	$93.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $30.90 / $60.26	Professional	TC	$13.18	$30.90	$60.26