Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.92 / $193.92 / $193.92	Professional		$193.92	$193.92	$193.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.01 / $108.01 / $108.01	Professional	26	$108.01	$108.01	$108.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.91 / $85.91 / $115.63	Professional	TC	$85.91	$85.91	$115.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.66 / $380.98 / $564.19	Professional		$99.66	$380.98	$564.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.63 / $203.30 / $225.72	Professional	26	$51.63	$203.30	$225.72
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.03 / $177.67 / $223.18	Professional	TC	$48.03	$177.67	$223.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.11 / $242.00 / $518.00	Professional		$198.11	$242.00	$518.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.01 / $136.09 / $293.95	Professional	26	$78.01	$136.09	$293.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.04 / $126.40 / $293.30	Professional	TC	$68.04	$126.40	$293.30
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $145.51 / $337.66 / $517.99	Professional		$145.51	$337.66	$517.99
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $145.51 / $174.61 / $315.87	Professional	26	$145.51	$174.61	$315.87
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $146.33 / $175.60 / $317.64	Professional	TC	$146.33	$175.60	$317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $193.92 / $193.92 / $216.46	Professional		$193.92	$193.92	$216.46
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $108.01 / $108.01 / $112.04	Professional	26	$108.01	$108.01	$112.04
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $85.91 / $104.41 / $115.63	Professional	TC	$85.91	$104.41	$115.63
United Facility/Professional Professional Modifier Low / Median / High Price $141.46 / $286.39 / $633.53	Professional		$141.46	$286.39	$633.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $123.17 / $196.62 / $324.12	Professional	26	$123.17	$196.62	$324.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.61 / $106.47 / $257.81	Professional	TC	$83.61	$106.47	$257.81