Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $79.73 / $79.73	Professional		$79.73	$79.73	$79.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $18.62 / $18.62	Professional	26	$18.62	$18.62	$18.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.12 / $61.12 / $64.91	Professional	TC	$61.12	$61.12	$64.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $158.60 / $211.81	Professional		$40.14	$158.60	$211.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.44 / $33.79 / $39.74	Professional	26	$8.44	$33.79	$39.74
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.70 / $124.81 / $131.63	Professional	TC	$31.70	$124.81	$131.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.09 / $83.61 / $155.15	Professional		$46.09	$83.61	$155.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.56 / $22.23 / $48.02	Professional	26	$13.56	$22.23	$48.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.90 / $83.62 / $180.63	Professional	TC	$47.90	$83.62	$180.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $105.94 / $127.13 / $229.97	Professional		$105.94	$127.13	$229.97
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $23.91 / $28.69 / $51.90	Professional	26	$23.91	$28.69	$51.90
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $82.03 / $98.44 / $178.07	Professional	TC	$82.03	$98.44	$178.07
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $76.91 / $76.91 / $79.73	Professional		$76.91	$76.91	$79.73
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $18.30 / $18.30 / $18.62	Professional	26	$18.30	$18.30	$18.62
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $58.60 / $61.12 / $64.91	Professional	TC	$58.60	$61.12	$64.91
United Facility/Professional Professional Modifier Low / Median / High Price $77.87 / $126.79 / $239.29	Professional		$77.87	$126.79	$239.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $27.66 / $39.53	Professional	26	$22.39	$27.66	$39.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.68 / $94.91 / $160.44	Professional	TC	$54.68	$94.91	$160.44