Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $512.86	Professional		$107.15	$138.04	$512.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $64.57 / $186.21	Professional	26	$53.70	$64.57	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $64.57 / $144.54	Professional	TC	$52.48	$64.57	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $251.19	Professional		$102.33	$141.25	$251.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $72.44 / $114.82	Professional	26	$50.12	$72.44	$114.82
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $70.79 / $131.83	Professional	TC	$51.29	$70.79	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $275.42	Professional		$138.04	$190.55	$275.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $81.28 / $131.83	Professional	26	$58.88	$81.28	$131.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $114.82 / $190.55	Professional	TC	$56.23	$114.82	$190.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $346.74	Professional		$134.90	$186.21	$346.74
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $95.50 / $169.82	Professional	26	$72.44	$95.50	$169.82
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $97.72 / $173.78	Professional	TC	$74.13	$97.72	$173.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $537.03	Professional		$112.20	$177.83	$537.03
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $75.86 / $199.53	Professional	26	$56.23	$75.86	$199.53
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $87.10 / $269.15	Professional	TC	$53.70	$87.10	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $338.84	Professional		$117.49	$181.97	$338.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $87.10 / $165.96	Professional	26	$60.26	$87.10	$165.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $89.13 / $173.78	Professional	TC	$58.88	$89.13	$173.78