Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.08 / $148.08 / $148.08	Professional		$148.08	$148.08	$148.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.96 / $20.96 / $20.96	Professional	26	$20.96	$20.96	$20.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $127.12 / $127.12 / $168.12	Professional	TC	$127.12	$127.12	$168.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.55 / $319.93 / $384.06	Professional		$85.55	$319.93	$384.06
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $38.69 / $44.44	Professional	26	$9.55	$38.69	$44.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $76.00 / $261.62 / $340.81	Professional	TC	$76.00	$261.62	$340.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.15 / $241.19 / $290.70	Professional		$170.15	$241.19	$290.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.18 / $25.17 / $90.38	Professional	26	$15.18	$25.17	$90.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $99.80 / $197.42 / $432.60	Professional	TC	$99.80	$197.42	$432.60
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $240.31 / $288.37 / $521.66	Professional		$240.31	$288.37	$521.66
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $28.03 / $33.64 / $60.85	Professional	26	$28.03	$33.64	$60.85
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $212.28 / $254.74 / $460.82	Professional	TC	$212.28	$254.74	$460.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $148.08 / $148.08 / $331.99	Professional		$148.08	$148.08	$331.99
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $20.96 / $20.96 / $98.67	Professional	26	$20.96	$20.96	$98.67
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $127.12 / $151.75 / $233.32	Professional	TC	$127.12	$151.75	$233.32
United Facility/Professional Professional Modifier Low / Median / High Price $118.46 / $182.97 / $521.66	Professional		$118.46	$182.97	$521.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.55 / $36.43 / $62.91	Professional	26	$13.55	$36.43	$62.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $108.05 / $148.07 / $330.31	Professional	TC	$108.05	$148.07	$330.31