Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.16 / $10.48 / $37.96	Professional	26	$9.16	$10.48	$37.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.02 / $16.50 / $61.73	Professional	TC	$15.02	$16.50	$61.73
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.61 / $28.22 / $58.79	Professional	26	$23.61	$28.22	$58.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.05 / $41.75 / $90.89	Professional	TC	$30.05	$41.75	$90.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.40 / $38.70 / $54.37	Professional	26	$30.40	$38.70	$54.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.39 / $55.86 / $80.78	Professional	TC	$45.39	$55.86	$80.78
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $30.09 / $34.81 / $82.00	Professional	26	$30.09	$34.81	$82.00
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $44.11 / $44.11 / $120.20	Professional	TC	$44.11	$44.11	$120.20
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $9.16 / $10.99 / $33.81	Professional	26	$9.16	$10.99	$33.81
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $14.71 / $18.10 / $46.63	Professional	TC	$14.71	$18.10	$46.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.09 / $47.11 / $78.73	Professional	26	$30.09	$47.11	$78.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.11 / $73.97 / $118.21	Professional	TC	$44.11	$73.97	$118.21