Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.27 / $111.40 / $198.62	Professional		$78.27	$111.40	$198.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.78 / $80.18 / $143.32	Professional	26	$64.78	$80.18	$143.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $28.93 / $54.74	Professional	TC	$13.49	$28.93	$54.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.16 / $113.16 / $159.51	Professional		$113.16	$113.16	$159.51
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.68 / $83.68 / $115.32	Professional	26	$83.68	$83.68	$115.32
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.39 / $34.26 / $44.20	Professional	TC	$32.39	$34.26	$44.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.52 / $141.49 / $244.41	Professional		$110.52	$141.49	$244.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.42 / $99.04 / $170.38	Professional	26	$79.42	$99.04	$170.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.41 / $42.85 / $74.03	Professional	TC	$26.41	$42.85	$74.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $98.37 / $129.43 / $172.30	Professional		$98.37	$129.43	$172.30
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $71.11 / $93.57 / $124.56	Professional	26	$71.11	$93.57	$124.56
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $27.25 / $35.86 / $47.74	Professional	TC	$27.25	$35.86	$47.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $99.48 / $112.36 / $272.95	Professional		$99.48	$112.36	$272.95
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $72.41 / $83.43 / $194.21	Professional	26	$72.41	$83.43	$194.21
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $23.40 / $28.93 / $76.51	Professional	TC	$23.40	$28.93	$76.51
United Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $127.58 / $217.95	Professional		$88.54	$127.58	$217.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.84 / $89.54 / $154.29	Professional	26	$66.84	$89.54	$154.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.70 / $28.09 / $59.89	Professional	TC	$21.70	$28.09	$59.89