Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.26 / $118.61 / $154.88	Professional		$95.26	$118.61	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.07 / $29.26 / $37.51	Professional	26	$24.07	$29.26	$37.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.98 / $83.10 / $130.81	Professional	TC	$65.98	$83.10	$130.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.78 / $177.26 / $249.89	Professional		$141.78	$177.26	$249.89
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.61 / $32.08 / $53.29	Professional	26	$25.61	$32.08	$53.29
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $120.01 / $141.19 / $203.47	Professional	TC	$120.01	$141.19	$203.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.40 / $235.68 / $360.23	Professional		$181.40	$235.68	$360.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.63 / $39.24 / $67.94	Professional	26	$29.63	$39.24	$67.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $133.50 / $197.77 / $305.63	Professional	TC	$133.50	$197.77	$305.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $199.09 / $238.53 / $353.36	Professional		$199.09	$238.53	$353.36
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $43.69 / $52.34 / $77.55	Professional	26	$43.69	$52.34	$77.55
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $155.40 / $186.18 / $275.82	Professional	TC	$155.40	$186.18	$275.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $95.26 / $118.61 / $260.94	Professional		$95.26	$118.61	$260.94
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $27.26 / $32.61 / $54.39	Professional	26	$27.26	$32.61	$54.39
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $65.98 / $83.10 / $206.54	Professional	TC	$65.98	$83.10	$206.54
United Facility/Professional Professional Modifier Low / Median / High Price $157.37 / $201.58 / $327.56	Professional		$157.37	$201.58	$327.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.81 / $36.35 / $67.98	Professional	26	$25.81	$36.35	$67.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.93 / $170.92 / $278.52	Professional	TC	$125.93	$170.92	$278.52