Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $46.77 / $104.71	Professional		$36.31	$46.77	$104.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $15.14 / $36.31	Professional	26	$12.02	$15.14	$36.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $33.88 / $67.61	Professional	TC	$23.99	$33.88	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $114.82 / $128.82	Professional		$25.70	$114.82	$128.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $37.15 / $46.77	Professional	26	$9.33	$37.15	$46.77
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $63.10 / $83.18	Professional	TC	$16.22	$63.10	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $64.57 / $169.82	Professional		$56.23	$64.57	$169.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $23.44 / $61.66	Professional	26	$20.42	$23.44	$61.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $40.74 / $109.65	Professional	TC	$35.48	$40.74	$109.65
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $177.83	Professional		$79.43	$95.50	$177.83
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $36.31 / $67.61	Professional	26	$29.51	$36.31	$67.61
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $60.26 / $112.20	Professional	TC	$48.98	$60.26	$112.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $61.66 / $151.36	Professional		$46.77	$61.66	$151.36
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $22.91 / $48.98	Professional	26	$12.02	$22.91	$48.98
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $38.90 / $97.72	Professional	TC	$30.90	$38.90	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $102.33 / $177.83	Professional		$40.74	$102.33	$177.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $36.31 / $67.61	Professional	26	$14.45	$36.31	$67.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $64.57 / $112.20	Professional	TC	$26.30	$64.57	$112.20