Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.41 / $71.52 / $101.81	Professional		$48.41	$71.52	$101.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.02 / $42.76 / $59.58	Professional	26	$29.02	$42.76	$59.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.39 / $28.76 / $42.22	Professional	TC	$19.39	$28.76	$42.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $76.42 / $97.03	Professional		$66.73	$76.42	$97.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.08 / $44.44 / $55.67	Professional	26	$38.08	$44.44	$55.67
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.65 / $31.98 / $41.66	Professional	TC	$28.65	$31.98	$41.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.25 / $86.81 / $178.41	Professional		$58.25	$86.81	$178.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.92 / $50.55 / $102.40	Professional	26	$33.92	$50.55	$102.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.33 / $36.26 / $76.01	Professional	TC	$24.33	$36.26	$76.01
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $78.23 / $104.81	Professional		$39.11	$78.23	$104.81
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $38.99 / $44.93 / $59.81	Professional	26	$38.99	$44.93	$59.81
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $25.69 / $33.79 / $44.99	Professional	TC	$25.69	$33.79	$44.99
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $64.89 / $74.43 / $142.33	Professional		$64.89	$74.43	$142.33
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $37.79 / $42.76 / $84.45	Professional	26	$37.79	$42.76	$84.45
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $27.89 / $31.91 / $57.87	Professional	TC	$27.89	$31.91	$57.87
United Facility/Professional Professional Modifier Low / Median / High Price $52.68 / $66.94 / $108.47	Professional		$52.68	$66.94	$108.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.70 / $42.37 / $65.48	Professional	26	$31.70	$42.37	$65.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.02 / $31.92 / $46.31	Professional	TC	$22.02	$31.92	$46.31