Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.31 / $74.31 / $158.71	Professional		$74.31	$74.31	$158.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.75 / $52.75 / $105.86	Professional	26	$52.75	$52.75	$105.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.58 / $21.58 / $30.66	Professional	TC	$21.58	$21.58	$30.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $150.43 / $277.20	Professional		$37.79	$150.43	$277.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.64 / $97.56 / $113.76	Professional	26	$24.64	$97.56	$113.76
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.15 / $52.87 / $61.04	Professional	TC	$13.15	$52.87	$61.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.17 / $95.86 / $196.09	Professional		$75.17	$95.86	$196.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.44 / $64.98 / $140.35	Professional	26	$38.44	$64.98	$140.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.04 / $34.61 / $84.02	Professional	TC	$17.04	$34.61	$84.02
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $112.53 / $135.04 / $244.28	Professional		$112.53	$135.04	$244.28
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $73.78 / $88.54 / $160.16	Professional	26	$73.78	$88.54	$160.16
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $38.75 / $46.50 / $84.12	Professional	TC	$38.75	$46.50	$84.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $74.31 / $83.75 / $228.23	Professional		$74.31	$83.75	$228.23
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $52.75 / $56.07 / $150.69	Professional	26	$52.75	$56.07	$150.69
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $21.57 / $30.66 / $77.53	Professional	TC	$21.57	$30.66	$77.53
United Facility/Professional Professional Modifier Low / Median / High Price $87.37 / $130.19 / $175.10	Professional		$87.37	$130.19	$175.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.54 / $92.37 / $158.29	Professional	26	$35.54	$92.37	$158.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.32 / $35.92 / $64.76	Professional	TC	$19.32	$35.92	$64.76