Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.12 / $127.13 / $226.88	Professional		$127.12	$127.13	$226.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.67 / $59.67 / $92.68	Professional	26	$59.67	$59.67	$92.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.45 / $67.45 / $134.19	Professional	TC	$67.45	$67.45	$134.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.81 / $244.71 / $423.63	Professional		$63.81	$244.71	$423.63
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.10 / $111.18 / $128.44	Professional	26	$28.10	$111.18	$128.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.71 / $133.53 / $190.75	Professional	TC	$35.71	$133.53	$190.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.61 / $167.03 / $282.83	Professional		$95.61	$167.03	$282.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.55 / $73.89 / $159.60	Professional	26	$43.55	$73.89	$159.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.05 / $99.65 / $202.72	Professional	TC	$53.05	$99.65	$202.72
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $211.87 / $254.24 / $459.93	Professional		$211.87	$254.24	$459.93
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $83.26 / $99.91 / $180.74	Professional	26	$83.26	$99.91	$180.74
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $128.61 / $154.33 / $279.19	Professional	TC	$128.61	$154.33	$279.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $127.12 / $155.19 / $367.18	Professional		$127.12	$155.19	$367.18
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $59.67 / $63.40 / $169.91	Professional	26	$59.67	$63.40	$169.91
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $67.45 / $101.67 / $217.18	Professional	TC	$67.45	$101.67	$217.18
United Facility/Professional Professional Modifier Low / Median / High Price $100.78 / $211.87 / $381.51	Professional		$100.78	$211.87	$381.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.36 / $73.98 / $179.05	Professional	26	$40.36	$73.98	$179.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.42 / $107.91 / $279.19	Professional	TC	$60.42	$107.91	$279.19