Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.22 / $76.22 / $76.22	Professional		$76.22	$76.22	$76.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.47 / $24.47 / $24.47	Professional	26	$24.47	$24.47	$24.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.75 / $51.75 / $80.73	Professional	TC	$51.75	$51.75	$80.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.03 / $71.33 / $217.45	Professional		$48.03	$71.33	$217.45
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.63 / $17.52 / $53.40	Professional	26	$11.63	$17.52	$53.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.40 / $53.81 / $164.04	Professional	TC	$36.40	$53.81	$164.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.47 / $107.89 / $131.74	Professional		$85.47	$107.89	$131.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.76 / $30.66 / $66.22	Professional	26	$17.76	$30.66	$66.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.58 / $80.73 / $207.49	Professional	TC	$40.58	$80.73	$207.49
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $136.44 / $163.72 / $296.18	Professional		$136.44	$163.72	$296.18
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $34.61 / $41.54 / $75.15	Professional	26	$34.61	$41.54	$75.15
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $101.81 / $122.17 / $221.01	Professional	TC	$101.81	$122.17	$221.01
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $76.22 / $76.22 / $99.24	Professional		$76.22	$76.22	$99.24
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $24.47 / $24.47 / $26.38	Professional	26	$24.47	$24.47	$26.38
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $51.75 / $72.86 / $80.73	Professional	TC	$51.75	$72.86	$80.73
United Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $118.90 / $296.18	Professional		$72.56	$118.90	$296.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.57 / $30.32 / $73.43	Professional	26	$28.57	$30.32	$73.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.99 / $58.14 / $155.28	Professional	TC	$43.99	$58.14	$155.28