Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.39 / $28.39 / $28.39	Facility	26	$28.39	$28.39	$28.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.00 / $156.79 / $186.47	Professional		$139.00	$156.79	$186.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $110.61 / $130.47 / $157.36	Professional	TC	$110.61	$130.47	$157.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.11 / $190.59 / $323.97	Professional		$171.11	$190.59	$323.97
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $145.04 / $149.57 / $274.98	Professional	TC	$145.04	$149.57	$274.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $203.63 / $344.70	Professional		$85.00	$203.63	$344.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $116.52 / $197.47 / $293.18	Professional	TC	$116.52	$197.47	$293.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $185.34 / $228.95 / $387.02	Professional		$185.34	$228.95	$387.02
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $157.32 / $194.33 / $328.50	Professional	TC	$157.32	$194.33	$328.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $139.00 / $175.71 / $322.98	Professional		$139.00	$175.71	$322.98
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $110.61 / $147.11 / $281.33	Professional	TC	$110.61	$147.11	$281.33
United Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $199.14 / $374.01	Professional		$112.50	$199.14	$374.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $118.13 / $163.69 / $319.95	Professional	TC	$118.13	$163.69	$319.95