Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $81.06 / $134.90	Professional		$59.53	$81.06	$134.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.75 / $52.75 / $82.36	Professional	26	$52.75	$52.75	$82.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.30 / $28.31 / $52.54	Professional	TC	$28.30	$28.31	$52.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.39 / $163.51 / $264.52	Professional		$41.39	$163.51	$264.52
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.78 / $97.56 / $114.48	Professional	26	$24.78	$97.56	$114.48
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.61 / $65.95 / $78.84	Professional	TC	$16.61	$65.95	$78.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.34 / $98.42 / $186.10	Professional		$82.34	$98.42	$186.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.47 / $65.34 / $141.13	Professional	26	$38.47	$65.34	$141.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.30 / $40.94 / $94.52	Professional	TC	$22.30	$40.94	$94.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $124.48 / $149.38 / $270.22	Professional		$124.48	$149.38	$270.22
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $74.20 / $89.04 / $161.07	Professional	26	$74.20	$89.04	$161.07
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $50.29 / $60.35 / $109.17	Professional	TC	$50.29	$60.35	$109.17
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $92.28 / $218.06	Professional		$59.53	$92.28	$218.06
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $39.35 / $56.34 / $133.29	Professional	26	$39.35	$56.34	$133.29
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $28.30 / $39.82 / $68.20	Professional	TC	$28.30	$39.82	$68.20
United Facility/Professional Professional Modifier Low / Median / High Price $60.74 / $124.48 / $161.30	Professional		$60.74	$124.48	$161.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.75 / $91.07 / $158.29	Professional	26	$35.75	$91.07	$158.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.99 / $50.44 / $84.96	Professional	TC	$24.99	$50.44	$84.96