Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.02 / $86.02 / $86.02	Facility		$86.02	$86.02	$86.02
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.81 / $48.81 / $48.81	Facility	26	$48.81	$48.81	$48.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.30 / $208.84 / $238.29	Professional		$79.30	$208.84	$238.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.28 / $77.98 / $89.47	Professional	26	$44.28	$77.98	$89.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.02 / $130.09 / $156.12	Professional	TC	$35.02	$130.09	$156.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.15 / $78.90 / $130.74	Professional		$65.15	$78.90	$130.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.96 / $45.17 / $74.22	Professional	26	$36.96	$45.17	$74.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $33.64 / $56.52	Professional	TC	$28.18	$33.64	$56.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.41 / $123.57 / $229.90	Professional		$81.41	$123.57	$229.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.83 / $69.43 / $103.09	Professional	26	$46.83	$69.43	$103.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.47 / $54.14 / $169.09	Professional	TC	$35.47	$54.14	$169.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $79.93 / $140.47	Professional		$67.27	$79.93	$140.47
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $38.19 / $47.18 / $79.75	Professional	26	$38.19	$47.18	$79.75
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $29.08 / $34.54 / $74.26	Professional	TC	$29.08	$34.54	$74.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $107.04 / $243.86	Professional		$78.59	$107.04	$243.86
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $45.61 / $59.13 / $90.35	Professional	26	$45.61	$59.13	$90.35
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $32.97 / $51.89 / $156.12	Professional	TC	$32.97	$51.89	$156.12
United Facility/Professional Professional Modifier Low / Median / High Price $79.14 / $166.44 / $272.72	Professional		$79.14	$166.44	$272.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.62 / $105.05 / $120.84	Professional	26	$42.62	$105.05	$120.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.47 / $74.26 / $170.06	Professional	TC	$32.47	$74.26	$170.06