Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.31 / $76.31 / $126.95	Professional		$76.31	$76.31	$126.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.89 / $23.89 / $37.58	Professional	26	$23.89	$23.89	$37.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.42 / $52.43 / $89.36	Professional	TC	$52.42	$52.43	$89.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.85 / $146.61 / $245.98	Professional		$35.85	$146.61	$245.98
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.21 / $44.69 / $51.49	Professional	26	$11.21	$44.69	$51.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.64 / $101.92 / $121.45	Professional	TC	$24.64	$101.92	$121.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.44 / $94.27 / $122.63	Professional		$71.44	$94.27	$122.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $29.56 / $63.85	Professional	26	$17.38	$29.56	$63.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.92 / $67.76 / $140.61	Professional	TC	$40.92	$67.76	$140.61
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $116.85 / $205.66	Professional		$84.13	$116.85	$205.66
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $119.13 / $142.96 / $258.61	Professional		$119.13	$142.96	$258.61
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $33.79 / $40.56 / $73.37	Professional	26	$33.79	$40.56	$73.37
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $85.33 / $102.40 / $185.23	Professional	TC	$85.33	$102.40	$185.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $56.35 / $86.84 / $205.45	Professional		$56.35	$86.84	$205.45
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $16.69 / $25.71 / $64.09	Professional	26	$16.69	$25.71	$64.09
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $39.65 / $61.13 / $135.30	Professional	TC	$39.65	$61.13	$135.30
United Facility/Professional Professional Modifier Low / Median / High Price $87.45 / $131.77 / $181.53	Professional		$87.45	$131.77	$181.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.86 / $39.28 / $71.68	Professional	26	$27.86	$39.28	$71.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.61 / $82.94 / $100.10	Professional	TC	$38.61	$82.94	$100.10