Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $74.13 / $83.18	Facility	26	$72.44	$74.13	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $371.54	Professional		$162.18	$239.88	$371.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $74.13 / $177.83	Professional	26	$54.95	$74.13	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $128.82 / $281.84	Professional	TC	$100.00	$128.82	$281.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $537.03	Professional		$158.49	$234.42	$537.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $87.10 / $199.53	Professional	26	$58.88	$87.10	$199.53
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $147.91 / $354.81	Professional	TC	$100.00	$147.91	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $316.23 / $588.84	Professional		$208.93	$316.23	$588.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $89.13 / $173.78	Professional	26	$61.66	$89.13	$173.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $213.80 / $416.87	Professional	TC	$128.82	$213.80	$416.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $457.09	Professional		$186.21	$239.88	$457.09
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $89.13 / $173.78	Professional	26	$70.79	$89.13	$173.78
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $151.36 / $302.00	Professional	TC	$120.23	$151.36	$302.00
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $74.13 / $83.18	Facility	26	$72.44	$74.13	$83.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $512.86	Professional		$181.97	$257.04	$512.86
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $85.11 / $177.83	Professional	26	$61.66	$85.11	$177.83
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $169.82 / $323.59	Professional	TC	$114.82	$169.82	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $562.34	Professional		$190.55	$316.23	$562.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $91.20 / $169.82	Professional	26	$63.10	$91.20	$169.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $208.93 / $380.19	Professional	TC	$123.03	$208.93	$380.19