Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $95.08 / $95.08	Professional		$29.35	$95.08	$95.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.51 / $73.51 / $73.51	Professional	26	$73.51	$73.51	$73.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.58 / $21.58 / $29.35	Professional	TC	$21.58	$21.58	$29.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.68 / $179.32 / $383.61	Professional		$45.68	$179.32	$383.61
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.74 / $136.80 / $162.78	Professional	26	$34.74	$136.80	$162.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $10.94 / $42.51 / $77.13	Professional	TC	$10.94	$42.51	$77.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.48 / $112.86 / $260.30	Professional		$87.48	$112.86	$260.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.01 / $91.75 / $198.17	Professional	26	$53.01	$91.75	$198.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.04 / $29.35 / $114.77	Professional	TC	$17.04	$29.35	$114.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $143.44 / $172.14 / $311.39	Professional		$143.44	$172.14	$311.39
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $106.35 / $127.62 / $230.86	Professional	26	$106.35	$127.62	$230.86
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $37.10 / $44.52 / $80.54	Professional	TC	$37.10	$44.52	$80.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $95.08 / $244.33	Professional		$29.35	$95.08	$244.33
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $73.51 / $73.51 / $150.68	Professional	26	$73.51	$73.51	$150.68
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $21.57 / $26.49 / $93.65	Professional	TC	$21.57	$26.49	$93.65
United Facility/Professional Professional Modifier Low / Median / High Price $69.08 / $140.71 / $285.35	Professional		$69.08	$140.71	$285.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $88.52 / $130.53 / $220.60	Professional	26	$88.52	$130.53	$220.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.92 / $36.49 / $81.48	Professional	TC	$17.92	$36.49	$81.48