Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $309.03	Professional		$128.82	$158.49	$309.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $50.12 / $134.90	Professional	26	$39.81	$50.12	$134.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $109.65 / $213.80	Professional	TC	$87.10	$109.65	$213.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $204.17 / $407.38	Professional		$131.83	$204.17	$407.38
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $64.57 / $128.82	Professional	26	$41.69	$64.57	$128.82
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $141.25 / $275.42	Professional	TC	$91.20	$141.25	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $338.84	Professional		$165.96	$218.78	$338.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $67.61 / $97.72	Professional	26	$48.98	$67.61	$97.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $154.88 / $239.88	Professional	TC	$100.00	$154.88	$239.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $398.11	Professional		$151.36	$208.93	$398.11
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $67.61 / $123.03	Professional	26	$52.48	$67.61	$123.03
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $154.88 / $269.15	Professional	TC	$114.82	$154.88	$269.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $389.05	Professional		$138.04	$173.78	$389.05
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $58.88 / $134.90	Professional	26	$43.65	$58.88	$134.90
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $123.03 / $269.15	Professional	TC	$93.33	$123.03	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $389.05	Professional		$138.04	$199.53	$389.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $64.57 / $123.03	Professional	26	$44.67	$64.57	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $131.83 / $269.15	Professional	TC	$93.33	$131.83	$269.15