Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $57.54 / $100.00	Professional		$44.67	$57.54	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.85 / $32.36	Professional	26	$12.88	$15.85	$32.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $38.90 / $67.61	Professional	TC	$30.20	$38.90	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $63.10 / $107.15	Professional		$39.81	$63.10	$107.15
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $20.89 / $35.48	Professional	26	$13.49	$20.89	$35.48
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $46.77 / $72.44	Professional	TC	$30.90	$46.77	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $93.33	Professional		$54.95	$70.79	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $20.89 / $30.90	Professional	26	$16.98	$20.89	$30.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $50.12 / $63.10	Professional	TC	$37.15	$50.12	$63.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $64.57 / $112.20	Professional		$39.81	$64.57	$112.20
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $21.38 / $37.15	Professional	26	$16.60	$21.38	$37.15
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $43.65 / $83.18	Professional	TC	$33.11	$43.65	$83.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $63.10 / $169.82	Professional		$48.98	$63.10	$169.82
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $19.05 / $47.86	Professional	26	$15.14	$19.05	$47.86
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $44.67 / $123.03	Professional	TC	$33.11	$44.67	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $72.44 / $93.33	Professional		$48.98	$72.44	$93.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $21.38 / $29.51	Professional	26	$15.14	$21.38	$29.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $50.12 / $66.07	Professional	TC	$33.11	$50.12	$66.07