Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $141.25	Professional		$60.26	$79.43	$141.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $36.31 / $446.68	Professional	26	$21.88	$36.31	$446.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $57.54 / $147.91	Professional	TC	$37.15	$57.54	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $165.96 / $204.17	Professional		$43.65	$165.96	$204.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $54.95 / $75.86	Professional	26	$16.22	$54.95	$75.86
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $109.65 / $138.04	Professional	TC	$29.51	$109.65	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $109.65 / $251.19	Professional		$38.02	$109.65	$251.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $38.02 / $85.11	Professional	26	$27.54	$38.02	$85.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $77.62 / $165.96	Professional	TC	$43.65	$77.62	$165.96
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $112.20	Professional		$97.72	$97.72	$112.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $162.18 / $309.03	Professional		$100.00	$162.18	$309.03
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $50.12 / $93.33	Professional	26	$40.74	$50.12	$93.33
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $117.49 / $218.78	Professional	TC	$95.50	$117.49	$218.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $117.49 / $251.19	Professional		$67.61	$117.49	$251.19
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $61.66 / $316.23	Professional	26	$22.91	$61.66	$316.23
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $70.79 / $169.82	Professional	TC	$43.65	$70.79	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $162.18 / $309.03	Professional		$100.00	$162.18	$309.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $52.48 / $91.20	Professional	26	$19.95	$52.48	$91.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $109.65 / $218.78	Professional	TC	$43.65	$109.65	$218.78