Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.03 / $104.03 / $104.03	Professional		$104.03	$104.03	$104.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.32 / $30.32 / $30.32	Professional	26	$30.32	$30.32	$30.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.70 / $73.70 / $107.47	Professional	TC	$73.70	$73.70	$107.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.29 / $227.83 / $286.12	Professional		$62.29	$227.83	$286.12
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.40 / $56.68 / $66.13	Professional	26	$14.40	$56.68	$66.13
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $47.90 / $167.13 / $219.99	Professional	TC	$47.90	$167.13	$219.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.32 / $141.11 / $207.41	Professional		$61.32	$141.11	$207.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.94 / $37.99 / $82.06	Professional	26	$21.94	$37.99	$82.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.73 / $107.47 / $273.06	Professional	TC	$57.73	$107.47	$273.06
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $178.48 / $214.18 / $387.44	Professional		$178.48	$214.18	$387.44
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $42.87 / $51.44 / $93.06	Professional	26	$42.87	$51.44	$93.06
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $135.61 / $162.72 / $294.38	Professional	TC	$135.61	$162.72	$294.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $104.03 / $104.03 / $129.69	Professional		$104.03	$104.03	$129.69
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $30.32 / $30.32 / $32.71	Professional	26	$30.32	$30.32	$32.71
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $73.70 / $96.99 / $107.47	Professional	TC	$73.70	$96.99	$107.47
United Facility/Professional Professional Modifier Low / Median / High Price $90.56 / $127.59 / $312.20	Professional		$90.56	$127.59	$312.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.77 / $42.87 / $65.00	Professional	26	$20.77	$42.87	$65.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.79 / $90.95 / $221.23	Professional	TC	$69.79	$90.95	$221.23