Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.70 / $50.70 / $50.70	Facility	26	$50.70	$50.70	$50.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.85 / $102.96 / $145.56	Professional		$98.85	$102.96	$145.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.26 / $53.95 / $75.97	Professional	TC	$52.26	$53.95	$75.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.04 / $104.16 / $162.90	Professional		$86.04	$104.16	$162.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.70 / $56.75 / $80.84	Professional	TC	$42.70	$56.75	$80.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $153.36 / $228.05	Professional		$103.66	$153.36	$228.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.08 / $78.31 / $124.47	Professional	TC	$52.08	$78.31	$124.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $54.41 / $109.65 / $194.62	Professional		$54.41	$109.65	$194.62
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $46.25 / $62.95 / $118.11	Professional	TC	$46.25	$62.95	$118.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $95.18 / $100.70 / $141.37	Professional		$95.18	$100.70	$141.37
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $50.38 / $53.95 / $75.00	Professional	TC	$50.38	$53.95	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.69 / $139.19 / $217.24	Professional		$100.69	$139.19	$217.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.25 / $69.92 / $110.27	Professional	TC	$46.25	$69.92	$110.27