Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $104.61 / $153.47	Professional		$104.60	$104.61	$153.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.63 / $37.63 / $57.74	Professional	26	$37.63	$37.63	$57.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.98 / $66.98 / $95.72	Professional	TC	$66.98	$66.98	$95.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.86 / $194.03 / $408.01	Professional		$48.86	$194.03	$408.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.44 / $68.67 / $103.84	Professional	26	$17.44	$68.67	$103.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.42 / $125.36 / $179.34	Professional	TC	$31.42	$125.36	$179.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.32 / $149.30 / $278.54	Professional		$97.32	$149.30	$278.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.10 / $46.06 / $102.20	Professional	26	$27.10	$46.06	$102.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.47 / $82.89 / $194.99	Professional	TC	$52.47	$82.89	$194.99
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $143.03 / $171.64 / $310.49	Professional		$143.03	$171.64	$310.49
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $51.53 / $61.84 / $111.86	Professional	26	$51.53	$61.84	$111.86
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $91.51 / $109.81 / $198.65	Professional	TC	$91.51	$109.81	$198.65
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $104.61 / $153.47	Professional		$104.60	$104.61	$153.47
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $37.63 / $37.63 / $57.74	Professional	26	$37.63	$37.63	$57.74
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $65.48 / $66.98 / $95.72	Professional	TC	$65.48	$66.98	$95.72
United Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $171.64 / $245.81	Professional		$71.98	$171.64	$245.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.17 / $60.61 / $112.93	Professional	26	$25.17	$60.61	$112.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.82 / $142.49 / $200.98	Professional	TC	$46.82	$142.49	$200.98