Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.37 / $94.37 / $95.80	Professional		$94.37	$94.37	$95.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.39 / $27.39 / $27.39	Professional	26	$27.39	$27.39	$27.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.98 / $66.98 / $95.80	Professional	TC	$66.98	$66.98	$95.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.79 / $184.76 / $295.76	Professional		$46.79	$184.76	$295.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.87 / $50.68 / $61.68	Professional	26	$12.87	$50.68	$61.68
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.92 / $134.07 / $183.13	Professional	TC	$33.92	$134.07	$183.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.61 / $123.44 / $141.21	Professional		$87.61	$123.44	$141.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.76 / $33.96 / $73.36	Professional	26	$19.76	$33.96	$73.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.47 / $90.70 / $193.27	Professional	TC	$52.47	$90.70	$193.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $161.58 / $193.90 / $350.76	Professional		$161.58	$193.90	$350.76
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $40.81 / $48.97 / $88.59	Professional	26	$40.81	$48.97	$88.59
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $120.77 / $144.91 / $262.17	Professional	TC	$120.77	$144.91	$262.17
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $94.37 / $95.80 / $117.57	Professional		$94.37	$95.80	$117.57
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $27.39 / $27.39 / $31.12	Professional	26	$27.39	$27.39	$31.12
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $66.98 / $86.44 / $95.80	Professional	TC	$66.98	$86.44	$95.80
United Facility/Professional Professional Modifier Low / Median / High Price $77.51 / $116.57 / $283.20	Professional		$77.51	$116.57	$283.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.37 / $33.92 / $54.46	Professional	26	$19.37	$33.92	$54.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.14 / $101.85 / $214.35	Professional	TC	$58.14	$101.85	$214.35