Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $86.76 / $146.47	Professional		$86.76	$86.76	$146.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.42 / $22.42 / $35.33	Professional	26	$22.42	$22.42	$35.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.34 / $64.34 / $111.13	Professional	TC	$64.34	$64.34	$111.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.82 / $176.59 / $269.39	Professional		$45.82	$176.59	$269.39
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.52 / $41.97 / $48.95	Professional	26	$10.52	$41.97	$48.95
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.29 / $134.62 / $165.95	Professional	TC	$35.29	$134.62	$165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $109.11 / $187.19	Professional		$33.40	$109.11	$187.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.29 / $27.73 / $59.89	Professional	26	$16.29	$27.73	$59.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.41 / $93.13 / $201.17	Professional	TC	$50.41	$93.13	$201.17
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $138.09 / $165.71 / $299.77	Professional		$138.09	$165.71	$299.77
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $31.74 / $38.09 / $68.90	Professional	26	$31.74	$38.09	$68.90
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $106.35 / $127.62 / $230.86	Professional	TC	$106.35	$127.62	$230.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $100.20 / $237.06	Professional		$43.00	$100.20	$237.06
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $16.89 / $24.17 / $64.94	Professional	26	$16.89	$24.17	$64.94
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $45.02 / $84.23 / $179.85	Professional	TC	$45.02	$84.23	$179.85
United Facility/Professional Professional Modifier Low / Median / High Price $68.05 / $161.18 / $301.58	Professional		$68.05	$161.18	$301.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.95 / $39.81 / $67.29	Professional	26	$26.95	$39.81	$67.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.69 / $93.74 / $232.26	Professional	TC	$52.69	$93.74	$232.26