Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.03 / $46.04 / $75.55	Professional		$46.03	$46.04	$75.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.32 / $30.32 / $47.19	Professional	26	$30.32	$30.32	$47.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.72 / $15.72 / $28.37	Professional	TC	$15.72	$15.72	$28.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $87.20 / $158.13	Professional		$22.01	$87.20	$158.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.12 / $56.13 / $65.09	Professional	26	$14.12	$56.13	$65.09
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $7.89 / $31.07 / $41.33	Professional	TC	$7.89	$31.07	$41.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.75 / $56.86 / $101.79	Professional		$43.75	$56.86	$101.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.07 / $37.25 / $80.47	Professional	26	$22.07	$37.25	$80.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.47 / $21.49 / $44.75	Professional	TC	$12.47	$21.49	$44.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $49.13 / $69.66 / $123.64	Professional		$49.13	$69.66	$123.64
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $42.46 / $50.95 / $92.17	Professional	26	$42.46	$50.95	$92.17
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $27.21 / $31.48 / $48.30	Professional	TC	$27.21	$31.48	$48.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $46.03 / $51.68 / $130.07	Professional		$46.03	$51.68	$130.07
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $30.32 / $32.28 / $86.75	Professional	26	$30.32	$32.28	$86.75
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $15.72 / $21.49 / $45.92	Professional	TC	$15.72	$21.49	$45.92
United Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $79.72 / $96.22	Professional		$33.44	$79.72	$96.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $54.71 / $91.01	Professional	26	$36.31	$54.71	$91.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.06 / $26.55 / $47.16	Professional	TC	$13.06	$26.55	$47.16