Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $47.86 / $47.86	Facility	26	$47.86	$47.86	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $95.50 / $295.12	Professional		$42.66	$95.50	$295.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $53.70 / $112.20	Professional	26	$33.88	$53.70	$112.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $39.81 / $169.82	Professional	TC	$25.70	$39.81	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $134.90	Professional		$60.26	$79.43	$134.90
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $43.65 / $77.62	Professional	26	$34.67	$43.65	$77.62
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $33.11 / $66.07	Professional	TC	$25.70	$33.11	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $131.83 / $281.84	Professional		$81.28	$131.83	$281.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $75.86 / $104.71	Professional	26	$45.71	$75.86	$104.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $57.54 / $181.97	Professional	TC	$35.48	$57.54	$181.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $97.72 / $208.93	Professional		$56.23	$97.72	$208.93
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $56.23 / $109.65	Professional	26	$38.90	$56.23	$109.65
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $44.67 / $91.20	Professional	TC	$30.90	$44.67	$91.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $114.82 / $295.12	Professional		$64.57	$114.82	$295.12
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $60.26 / $120.23	Professional	26	$38.02	$60.26	$120.23
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $50.12 / $169.82	Professional	TC	$30.20	$50.12	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $128.82 / $275.42	Professional		$69.18	$128.82	$275.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $72.44 / $112.20	Professional	26	$39.81	$72.44	$112.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $57.54 / $158.49	Professional	TC	$29.51	$57.54	$158.49