Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.20 / $93.20 / $93.20	Professional		$93.20	$93.20	$93.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.86 / $28.86 / $28.86	Professional	26	$28.86	$28.86	$28.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.34 / $64.34 / $75.39	Professional	TC	$64.34	$64.34	$75.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.96 / $180.95 / $291.85	Professional		$45.96	$180.95	$291.85
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.43 / $52.87 / $61.60	Professional	26	$13.43	$52.87	$61.60
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.53 / $128.08 / $151.97	Professional	TC	$32.53	$128.08	$151.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.51 / $138.50 / $336.57	Professional		$91.51	$138.50	$336.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.82 / $35.43 / $106.40	Professional	26	$20.82	$35.43	$106.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.41 / $85.82 / $389.52	Professional	TC	$50.41	$85.82	$389.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $134.79 / $161.75 / $292.60	Professional		$134.79	$161.75	$292.60
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $39.57 / $47.48 / $85.90	Professional	26	$39.57	$47.48	$85.90
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $95.22 / $114.26 / $206.70	Professional	TC	$95.22	$114.26	$206.70
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $93.20 / $93.20 / $98.37	Professional		$93.20	$93.20	$98.37
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $28.86 / $28.86 / $30.32	Professional	26	$28.86	$28.86	$30.32
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $64.34 / $68.05 / $75.39	Professional	TC	$64.34	$68.05	$75.39
United Facility/Professional Professional Modifier Low / Median / High Price $106.96 / $134.79 / $279.69	Professional		$106.96	$134.79	$279.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.79 / $48.57 / $86.42	Professional	26	$34.79	$48.57	$86.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $71.62 / $108.74 / $165.92	Professional	TC	$71.62	$108.74	$165.92