Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $72.44 / $85.11	Facility	26	$69.18	$72.44	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $602.56	Professional		$173.78	$251.19	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $74.13 / $186.21	Professional	26	$54.95	$74.13	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $151.36 / $316.23	Professional	TC	$114.82	$151.36	$316.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $257.04 / $588.84	Professional		$173.78	$257.04	$588.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $85.11 / $199.53	Professional	26	$58.88	$85.11	$199.53
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $165.96 / $389.05	Professional	TC	$114.82	$165.96	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $346.74 / $691.83	Professional		$194.98	$346.74	$691.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $87.10 / $169.82	Professional	26	$61.66	$87.10	$169.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $263.03 / $489.78	Professional	TC	$128.82	$263.03	$489.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $489.78	Professional		$208.93	$263.03	$489.78
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $89.13 / $165.96	Professional	26	$70.79	$89.13	$165.96
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $173.78 / $346.74	Professional	TC	$138.04	$173.78	$346.74
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $72.44 / $85.11	Facility	26	$69.18	$72.44	$85.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $302.00 / $602.56	Professional		$194.98	$302.00	$602.56
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $85.11 / $177.83	Professional	26	$58.88	$85.11	$177.83
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $199.53 / $416.87	Professional	TC	$131.83	$199.53	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $269.15 / $524.81	Professional		$181.97	$269.15	$524.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $91.20 / $165.96	Professional	26	$63.10	$91.20	$165.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $181.97 / $346.74	Professional	TC	$117.49	$181.97	$346.74