Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $64.57 / $64.57	Facility	26	$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $281.84 / $478.63	Professional		$181.97	$281.84	$478.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $69.18 / $204.17	Professional	26	$53.70	$69.18	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $204.17 / $354.81	Professional	TC	$131.83	$204.17	$354.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $263.03 / $676.08	Professional		$177.83	$263.03	$676.08
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $75.86 / $177.83	Professional	26	$52.48	$75.86	$177.83
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $186.21 / $478.63	Professional	TC	$128.82	$186.21	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $363.08 / $645.65	Professional		$239.88	$363.08	$645.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $85.11 / $151.36	Professional	26	$63.10	$85.11	$151.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $269.15 / $457.09	Professional	TC	$169.82	$269.15	$457.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $275.42 / $512.86	Professional		$218.78	$275.42	$512.86
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $81.28 / $158.49	Professional	26	$63.10	$81.28	$158.49
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $194.98 / $389.05	Professional	TC	$154.88	$194.98	$389.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $323.59 / $630.96	Professional		$218.78	$323.59	$630.96
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $83.18 / $177.83	Professional	26	$58.88	$83.18	$177.83
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $229.09 / $489.78	Professional	TC	$158.49	$229.09	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $363.08 / $630.96	Professional		$208.93	$363.08	$630.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $95.50 / $147.91	Professional	26	$56.23	$95.50	$147.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $269.15 / $478.63	Professional	TC	$154.88	$269.15	$478.63