Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $79.43 / $125.89	Professional		$52.48	$79.43	$125.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $199.53 / $1,000.00	Professional	26	$38.90	$199.53	$1,000.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $30.90 / $48.98	Professional	TC	$18.20	$30.90	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $162.18 / $190.55	Professional		$38.90	$162.18	$190.55
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $97.72 / $114.82	Professional	26	$26.92	$97.72	$114.82
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $61.66 / $75.86	Professional	TC	$15.85	$61.66	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $251.19	Professional		$83.18	$114.82	$251.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $77.62 / $151.36	Professional	26	$48.98	$77.62	$151.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $39.81 / $100.00	Professional	TC	$21.38	$39.81	$100.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $147.91 / $275.42	Professional		$120.23	$147.91	$275.42
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $87.10 / $162.18	Professional	26	$70.79	$87.10	$162.18
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $60.26 / $112.20	Professional	TC	$48.98	$60.26	$112.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $117.49 / $234.42	Professional		$67.61	$117.49	$234.42
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $158.49 / $776.25	Professional	26	$52.48	$158.49	$776.25
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $38.90 / $89.13	Professional	TC	$26.92	$38.90	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $275.42	Professional		$95.50	$144.54	$275.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $91.20 / $162.18	Professional	26	$35.48	$91.20	$162.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $50.12 / $109.65	Professional	TC	$25.12	$50.12	$109.65