Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.87 / $44.87 / $68.81	Professional		$44.87	$44.87	$68.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.23 / $26.23 / $51.80	Professional	26	$26.23	$26.23	$51.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.64 / $18.64 / $24.44	Professional	TC	$18.64	$18.64	$24.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $86.11 / $139.58	Professional		$22.01	$86.11	$139.58
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.18 / $48.51 / $57.58	Professional	26	$12.18	$48.51	$57.58
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.83 / $37.60 / $47.69	Professional	TC	$9.83	$37.60	$47.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.75 / $53.23 / $80.51	Professional		$43.75	$53.23	$80.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.13 / $32.11 / $69.38	Professional	26	$19.13	$32.11	$69.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.33 / $24.44 / $55.81	Professional	TC	$14.33	$24.44	$55.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $48.11 / $78.20 / $119.98	Professional		$48.11	$78.20	$119.98
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $36.69 / $42.45 / $79.65	Professional	26	$36.69	$42.45	$79.65
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $30.92 / $35.77 / $67.12	Professional	TC	$30.92	$35.77	$67.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $44.86 / $49.92 / $118.10	Professional		$44.86	$49.92	$118.10
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $26.23 / $27.86 / $73.83	Professional	26	$26.23	$27.86	$73.83
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $17.00 / $22.06 / $52.19	Professional	TC	$17.00	$22.06	$52.19
United Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $55.58 / $84.95	Professional		$32.65	$55.58	$84.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.57 / $32.47 / $78.70	Professional	26	$17.57	$32.47	$78.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.09 / $25.13 / $31.54	Professional	TC	$15.09	$25.13	$31.54