Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.79 / $60.79 / $60.79	Professional		$60.79	$60.79	$60.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.42 / $22.42 / $22.42	Professional	26	$22.42	$22.42	$22.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.36 / $38.36 / $40.47	Professional	TC	$38.36	$38.36	$40.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $114.46 / $204.98	Professional		$28.10	$114.46	$204.98
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $40.88 / $48.73	Professional	26	$10.24	$40.88	$48.73
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.86 / $73.58 / $96.16	Professional	TC	$17.86	$73.58	$96.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $71.95 / $109.18	Professional		$55.98	$71.95	$109.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.19 / $27.00 / $58.32	Professional	26	$16.19	$27.00	$58.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.95 / $47.18 / $101.91	Professional	TC	$29.95	$47.18	$101.91
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $62.73 / $93.95 / $144.12	Professional		$62.73	$93.95	$144.12
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $30.09 / $36.11 / $65.31	Professional	26	$30.09	$36.11	$65.31
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $51.11 / $61.33 / $110.95	Professional	TC	$51.11	$61.33	$110.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $59.73 / $59.73 / $60.79	Professional		$59.73	$59.73	$60.79
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $22.42 / $22.42 / $23.19	Professional	26	$22.42	$22.42	$23.19
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $36.54 / $38.36 / $40.47	Professional	TC	$36.54	$38.36	$40.47
United Facility/Professional Professional Modifier Low / Median / High Price $40.82 / $101.78 / $182.43	Professional		$40.82	$101.78	$182.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.39 / $36.11 / $46.70	Professional	26	$21.39	$36.11	$46.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.20 / $61.33 / $115.15	Professional	TC	$26.20	$61.33	$115.15