Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $87.10	Professional		$48.98	$64.57	$87.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $37.15 / $50.12	Professional	26	$28.18	$37.15	$50.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $26.92 / $38.02	Professional	TC	$19.95	$26.92	$38.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $120.23	Professional		$66.07	$83.18	$120.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $46.77 / $69.18	Professional	26	$36.31	$46.77	$69.18
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $35.48 / $51.29	Professional	TC	$28.18	$35.48	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $87.10 / $144.54	Professional		$45.71	$87.10	$144.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $50.12 / $83.18	Professional	26	$32.36	$50.12	$83.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $36.31 / $63.10	Professional	TC	$15.85	$36.31	$63.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $77.62 / $128.82	Professional		$47.86	$77.62	$128.82
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $44.67 / $69.18	Professional	26	$33.88	$44.67	$69.18
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $34.67 / $53.70	Professional	TC	$22.91	$34.67	$53.70
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $70.79 / $147.91	Professional		$53.70	$70.79	$147.91
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $41.69 / $87.10	Professional	26	$30.90	$41.69	$87.10
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $28.84 / $58.88	Professional	TC	$22.91	$28.84	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $117.49	Professional		$54.95	$79.43	$117.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $44.67 / $69.18	Professional	26	$33.11	$44.67	$69.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $33.88 / $47.86	Professional	TC	$21.88	$33.88	$47.86