Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.01 / $73.01 / $83.71	Facility	26	$73.01	$73.01	$83.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.77 / $242.69 / $282.88	Professional		$181.77	$242.69	$282.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.15 / $64.39 / $93.94	Professional	26	$55.15	$64.39	$93.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $117.06 / $177.61 / $211.29	Professional	TC	$117.06	$177.61	$211.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.12 / $222.75 / $334.49	Professional		$172.12	$222.75	$334.49
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.29 / $81.90 / $125.09	Professional	26	$63.29	$81.90	$125.09
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $108.69 / $140.85 / $209.40	Professional	TC	$108.69	$140.85	$209.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.53 / $314.19 / $512.54	Professional		$213.53	$314.19	$512.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.35 / $96.93 / $136.40	Professional	26	$61.35	$96.93	$136.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $135.47 / $205.91 / $380.30	Professional	TC	$135.47	$205.91	$380.30
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $199.50 / $239.02 / $460.15	Professional		$199.50	$239.02	$460.15
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $74.61 / $89.78 / $161.96	Professional	26	$74.61	$89.78	$161.96
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $124.90 / $150.30 / $271.13	Professional	TC	$124.90	$150.30	$271.13
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $83.71 / $83.71 / $83.71	Facility	26	$83.71	$83.71	$83.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $190.78 / $255.25 / $393.49	Professional		$190.78	$255.25	$393.49
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $58.53 / $73.01 / $133.79	Professional	26	$58.53	$73.01	$133.79
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $123.52 / $175.05 / $221.14	Professional	TC	$123.52	$175.05	$221.14
United Facility/Professional Professional Modifier Low / Median / High Price $188.75 / $317.42 / $473.31	Professional		$188.75	$317.42	$473.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.06 / $91.67 / $160.90	Professional	26	$63.06	$91.67	$160.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.69 / $225.75 / $322.64	Professional	TC	$125.69	$225.75	$322.64