Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.89 / $72.62 / $83.89	Facility	26	$68.89	$72.62	$83.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.81 / $293.48 / $339.31	Professional		$197.81	$293.48	$339.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.86 / $63.10 / $92.86	Professional	26	$54.86	$63.10	$92.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $133.43 / $226.80 / $266.82	Professional	TC	$133.43	$226.80	$266.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.42 / $242.55 / $364.90	Professional		$187.42	$242.55	$364.90
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.94 / $81.45 / $123.71	Professional	26	$62.94	$81.45	$123.71
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $124.49 / $161.10 / $241.19	Professional	TC	$124.49	$161.10	$241.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.42 / $343.02 / $557.95	Professional		$229.42	$343.02	$557.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.97 / $96.39 / $135.63	Professional	26	$60.97	$96.39	$135.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $151.54 / $228.14 / $409.00	Professional	TC	$151.54	$228.14	$409.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $217.64 / $265.52 / $501.99	Professional		$217.64	$265.52	$501.99
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $73.78 / $88.79 / $160.16	Professional	26	$73.78	$88.79	$160.16
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $143.86 / $173.11 / $331.81	Professional	TC	$143.86	$173.11	$331.81
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $68.89 / $72.62 / $83.89	Facility	26	$68.89	$72.62	$83.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $208.82 / $293.82 / $346.44	Professional		$208.82	$293.82	$346.44
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $57.83 / $72.62 / $111.94	Professional	26	$57.83	$72.62	$111.94
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $142.34 / $205.21 / $278.14	Professional	TC	$142.34	$205.21	$278.14
United Facility/Professional Professional Modifier Low / Median / High Price $193.60 / $265.52 / $451.39	Professional		$193.60	$265.52	$451.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.95 / $100.58 / $130.94	Professional	26	$64.95	$100.58	$130.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.48 / $180.88 / $312.29	Professional	TC	$117.48	$180.88	$312.29