Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $48.17 / $97.39	Professional		$42.46	$48.17	$97.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.78 / $28.87 / $38.54	Professional	26	$25.78	$28.87	$38.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.67 / $19.66 / $58.84	Professional	TC	$16.67	$19.66	$58.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.93 / $70.42 / $147.99	Professional		$56.93	$70.42	$147.99
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.46 / $35.71 / $61.66	Professional	26	$26.46	$35.71	$61.66
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.35 / $38.07 / $71.62	Professional	TC	$32.35	$38.07	$71.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $91.31 / $138.15	Professional		$59.40	$91.31	$138.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.16 / $39.77 / $55.87	Professional	26	$31.16	$39.77	$55.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.89 / $54.33 / $82.28	Professional	TC	$22.89	$54.33	$82.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $30.50 / $72.55 / $128.77	Professional		$30.50	$72.55	$128.77
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $30.50 / $35.29 / $83.11	Professional	26	$30.50	$35.29	$83.11
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $42.04 / $42.46 / $114.56	Professional	TC	$42.04	$42.46	$114.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $54.67 / $93.08	Professional		$42.46	$54.67	$93.08
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $25.78 / $28.51 / $38.54	Professional	26	$25.78	$28.51	$38.54
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $16.67 / $21.48 / $52.57	Professional	TC	$16.67	$21.48	$52.57
United Facility/Professional Professional Modifier Low / Median / High Price $51.34 / $64.54 / $120.99	Professional		$51.34	$64.54	$120.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.14 / $37.19 / $49.94	Professional	26	$26.14	$37.19	$49.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.57 / $25.71 / $65.53	Professional	TC	$20.57	$25.71	$65.53