Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $218.78 / $457.09	Professional		$125.89	$218.78	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $33.11 / $57.54	Professional	26	$25.12	$33.11	$57.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $190.55 / $398.11	Professional	TC	$100.00	$190.55	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $512.86 / $549.54	Professional		$104.71	$512.86	$549.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $61.66 / $77.62	Professional	26	$15.49	$61.66	$77.62
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $354.81 / $478.63	Professional	TC	$89.13	$354.81	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $812.83	Professional		$213.80	$269.15	$812.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $46.77 / $104.71	Professional	26	$34.67	$46.77	$104.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $229.09 / $707.95	Professional	TC	$165.96	$229.09	$707.95
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $758.58	Professional		$331.13	$407.38	$758.58
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $60.26 / $112.20	Professional	26	$48.98	$60.26	$112.20
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $346.74 / $645.65	Professional	TC	$281.84	$346.74	$645.65
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $331.13 / $741.31	Professional		$162.18	$331.13	$741.31
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $45.71 / $104.71	Professional	26	$26.92	$45.71	$104.71
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $288.40 / $645.65	Professional	TC	$128.82	$288.40	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $467.74 / $758.58	Professional		$186.21	$467.74	$758.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $64.57 / $112.20	Professional	26	$24.55	$64.57	$112.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $398.11 / $645.65	Professional	TC	$162.18	$398.11	$645.65