Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.15 / $103.15 / $157.37	Professional		$103.15	$103.15	$157.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.59 / $35.59 / $55.18	Professional	26	$35.59	$35.59	$55.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.56 / $67.56 / $102.20	Professional	TC	$67.56	$67.56	$102.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $195.12 / $331.87	Professional		$49.00	$195.12	$331.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.61 / $65.95 / $97.98	Professional	26	$16.61	$65.95	$97.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.39 / $129.16 / $158.49	Professional	TC	$32.39	$129.16	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.59 / $121.27 / $240.54	Professional		$97.59	$121.27	$240.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.76 / $43.85 / $94.72	Professional	26	$25.76	$43.85	$94.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.93 / $85.45 / $184.58	Professional	TC	$52.93	$85.45	$184.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $147.16 / $176.59 / $319.45	Professional		$147.16	$176.59	$319.45
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $49.46 / $59.35 / $107.37	Professional	26	$49.46	$59.35	$107.37
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $97.69 / $117.23 / $212.07	Professional	TC	$97.69	$117.23	$212.07
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $107.65 / $254.68	Professional		$75.34	$107.65	$254.68
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $33.75 / $37.75 / $93.45	Professional	26	$33.75	$37.75	$93.45
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $67.56 / $77.47 / $141.29	Professional	TC	$67.56	$77.47	$141.29
United Facility/Professional Professional Modifier Low / Median / High Price $72.62 / $127.40 / $200.71	Professional		$72.62	$127.40	$200.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.74 / $64.40 / $106.79	Professional	26	$42.74	$64.40	$106.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.64 / $83.37 / $202.75	Professional	TC	$48.64	$83.37	$202.75