Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.28 / $73.66 / $116.31	Professional		$65.28	$73.66	$116.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.47 / $44.39 / $55.14	Professional	26	$42.47	$44.39	$55.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.05 / $24.82 / $61.17	Professional	TC	$21.05	$24.82	$61.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.85 / $78.45 / $140.72	Professional		$53.85	$78.45	$140.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.11 / $44.84 / $67.39	Professional	26	$38.11	$44.84	$67.39
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.24 / $39.11 / $69.30	Professional	TC	$33.24	$39.11	$69.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $109.83 / $164.70	Professional		$82.08	$109.83	$164.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.69 / $57.06 / $80.17	Professional	26	$44.69	$57.06	$80.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.05 / $55.81 / $84.53	Professional	TC	$28.05	$55.81	$84.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $43.69 / $87.39 / $135.97	Professional		$43.69	$87.39	$135.97
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $65.28 / $74.45 / $112.66	Professional		$65.28	$74.45	$112.66
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $39.49 / $44.39 / $56.93	Professional	26	$39.49	$44.39	$56.93
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $21.05 / $31.98 / $54.63	Professional	TC	$21.05	$31.98	$54.63
United Facility/Professional Professional Modifier Low / Median / High Price $63.49 / $89.83 / $143.03	Professional		$63.49	$89.83	$143.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.27 / $59.71 / $81.59	Professional	26	$38.27	$59.71	$81.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.78 / $31.47 / $63.89	Professional	TC	$23.78	$31.47	$63.89