Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.75 / $86.75 / $148.11	Professional		$86.75	$86.75	$148.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.73 / $29.74 / $46.35	Professional	26	$29.73	$29.74	$46.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.02 / $57.02 / $101.76	Professional	TC	$57.02	$57.02	$101.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.97 / $165.69 / $292.83	Professional		$40.97	$165.69	$292.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.84 / $55.05 / $76.55	Professional	26	$13.84	$55.05	$76.55
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.13 / $110.64 / $137.97	Professional	TC	$27.13	$110.64	$137.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.09 / $109.81 / $219.10	Professional		$64.09	$109.81	$219.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.59 / $36.52 / $78.89	Professional	26	$21.59	$36.52	$78.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.70 / $77.14 / $154.56	Professional	TC	$44.70	$77.14	$154.56
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $111.00	Professional		$98.11	$98.11	$111.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $138.91 / $166.69 / $301.55	Professional		$138.91	$166.69	$301.55
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $41.63 / $49.96 / $90.37	Professional	26	$41.63	$49.96	$90.37
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $97.28 / $116.74 / $211.18	Professional	TC	$97.28	$116.74	$211.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $67.14 / $101.32 / $239.71	Professional		$67.14	$101.32	$239.71
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $22.35 / $31.71 / $85.26	Professional	26	$22.35	$31.71	$85.26
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $44.78 / $77.14 / $164.69	Professional	TC	$44.78	$77.14	$164.69
United Facility/Professional Professional Modifier Low / Median / High Price $63.97 / $175.63 / $301.55	Professional		$63.97	$175.63	$301.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.68 / $52.26 / $90.37	Professional	26	$35.68	$52.26	$90.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.79 / $93.26 / $212.46	Professional	TC	$43.79	$93.26	$212.46