Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.92 / $183.26 / $200.13	Professional		$119.92	$183.26	$200.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.97 / $65.29 / $91.76	Professional	26	$57.97	$65.29	$91.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.95 / $109.25 / $131.93	Professional	TC	$61.95	$109.25	$131.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.21 / $128.44 / $223.18	Professional		$113.21	$128.44	$223.18
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.93 / $64.59 / $111.91	Professional	26	$56.93	$64.59	$111.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.28 / $63.86 / $111.26	Professional	TC	$56.28	$63.86	$111.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.09 / $187.20 / $260.39	Professional		$139.09	$187.20	$260.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.50 / $84.66 / $129.06	Professional	26	$64.50	$84.66	$129.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.06 / $99.86 / $170.15	Professional	TC	$69.06	$99.86	$170.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $144.27 / $172.85 / $256.06	Professional		$144.27	$172.85	$256.06
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $72.55 / $86.92 / $128.77	Professional	26	$72.55	$86.92	$128.77
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $71.72 / $85.93 / $127.30	Professional	TC	$71.72	$85.93	$127.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $128.02 / $179.30 / $220.32	Professional		$128.02	$179.30	$220.32
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $59.09 / $65.76 / $90.87	Professional	26	$59.09	$65.76	$90.87
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $63.56 / $109.25 / $144.25	Professional	TC	$63.56	$109.25	$144.25
United Facility/Professional Professional Modifier Low / Median / High Price $124.29 / $173.24 / $238.74	Professional		$124.29	$173.24	$238.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.08 / $87.54 / $118.73	Professional	26	$61.08	$87.54	$118.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.62 / $80.22 / $127.30	Professional	TC	$58.62	$80.22	$127.30