Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.32 / $108.32 / $108.32	Professional		$108.32	$108.32	$108.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.00 / $35.00 / $35.00	Professional	26	$35.00	$35.00	$35.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.31 / $73.31 / $105.83	Professional	TC	$73.31	$73.31	$105.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.23 / $214.20 / $312.35	Professional		$55.23	$214.20	$312.35
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.47 / $64.86 / $77.56	Professional	26	$16.47	$64.86	$77.56
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.76 / $149.34 / $204.75	Professional	TC	$38.76	$149.34	$204.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.92 / $163.95 / $314.58	Professional		$109.92	$163.95	$314.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.22 / $43.49 / $109.16	Professional	26	$25.22	$43.49	$109.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.62 / $105.83 / $334.70	Professional	TC	$57.62	$105.83	$334.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $184.25 / $221.10 / $399.97	Professional		$184.25	$221.10	$399.97
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $50.70 / $60.84 / $110.06	Professional	26	$50.70	$60.84	$110.06
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $133.55 / $160.26 / $289.91	Professional	TC	$133.55	$160.26	$289.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $108.31 / $108.32 / $355.94	Professional		$108.31	$108.32	$355.94
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $35.00 / $35.00 / $112.73	Professional	26	$35.00	$35.00	$112.73
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $73.31 / $95.51 / $243.21	Professional	TC	$73.31	$95.51	$243.21
United Facility/Professional Professional Modifier Low / Median / High Price $89.32 / $133.88 / $325.07	Professional		$89.32	$133.88	$325.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.38 / $58.41 / $105.03	Professional	26	$24.38	$58.41	$105.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $73.78 / $117.74 / $193.07	Professional	TC	$73.78	$117.74	$193.07