Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.59 / $116.93 / $129.68	Professional		$67.59	$116.93	$129.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.35 / $14.18 / $15.87	Professional	26	$12.35	$14.18	$15.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.25 / $101.06 / $115.77	Professional	TC	$55.25	$101.06	$115.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.04 / $128.04 / $201.17	Professional		$128.04	$128.04	$201.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.99 / $15.99 / $22.35	Professional	26	$15.99	$15.99	$22.35
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $112.82 / $112.82 / $178.82	Professional	TC	$112.82	$112.82	$178.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.81 / $160.31 / $276.92	Professional		$98.81	$160.31	$276.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.37 / $19.00 / $32.82	Professional	26	$15.37	$19.00	$32.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $141.31 / $244.10	Professional	TC	$87.10	$141.31	$244.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $122.42 / $163.22 / $253.99	Professional		$122.42	$163.22	$253.99
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $13.79 / $18.14 / $24.15	Professional	26	$13.79	$18.14	$24.15
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $110.27 / $145.09 / $193.14	Professional	TC	$110.27	$145.09	$193.14
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $67.59 / $116.93 / $129.68	Professional		$67.59	$116.93	$129.68
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $12.35 / $15.40 / $15.87	Professional	26	$12.35	$15.40	$15.87
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $55.25 / $101.06 / $115.77	Professional	TC	$55.25	$101.06	$115.77
United Facility/Professional Professional Modifier Low / Median / High Price $88.50 / $125.06 / $242.05	Professional		$88.50	$125.06	$242.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.72 / $17.96 / $29.76	Professional	26	$12.72	$17.96	$29.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.78 / $107.92 / $167.87	Professional	TC	$75.78	$107.92	$167.87