Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $371.54	Professional		$72.44	$107.15	$371.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $338.84 / $912.01	Professional	26	$33.11	$338.84	$912.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $64.57 / $112.20	Professional	TC	$40.74	$64.57	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $194.98 / $229.09	Professional		$45.71	$194.98	$229.09
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $61.66 / $75.86	Professional	26	$15.49	$61.66	$75.86
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $120.23 / $154.88	Professional	TC	$30.90	$120.23	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $117.49 / $302.00	Professional		$97.72	$117.49	$302.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $53.70 / $102.33	Professional	26	$33.11	$53.70	$102.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $77.62 / $199.53	Professional	TC	$47.86	$77.62	$199.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $338.84	Professional		$147.91	$181.97	$338.84
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $58.88 / $109.65	Professional	26	$47.86	$58.88	$109.65
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $123.03 / $229.09	Professional	TC	$100.00	$123.03	$229.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $338.84	Professional		$102.33	$147.91	$338.84
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $190.55 / $707.95	Professional	26	$37.15	$190.55	$707.95
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $75.86 / $181.97	Professional	TC	$52.48	$75.86	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $338.84	Professional		$117.49	$177.83	$338.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $64.57 / $109.65	Professional	26	$23.99	$64.57	$109.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $114.82 / $229.09	Professional	TC	$48.98	$114.82	$229.09