Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $50.12 / $295.12	Facility	26	$46.77	$50.12	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $234.42 / $512.86	Professional		$125.89	$234.42	$512.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $54.95 / $158.49	Professional	26	$38.02	$54.95	$158.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $141.25 / $407.38	Professional	TC	$89.13	$141.25	$407.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $426.58	Professional		$128.82	$186.21	$426.58
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $57.54 / $131.83	Professional	26	$39.81	$57.54	$131.83
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $128.82 / $309.03	Professional	TC	$89.13	$128.82	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $263.03 / $501.19	Professional		$141.25	$263.03	$501.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $64.57 / $117.49	Professional	26	$43.65	$64.57	$117.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $181.97 / $380.19	Professional	TC	$97.72	$181.97	$380.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $380.19	Professional		$154.88	$194.98	$380.19
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $60.26 / $112.20	Professional	26	$47.86	$60.26	$112.20
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $134.90 / $263.03	Professional	TC	$107.15	$134.90	$263.03
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $48.98 / $295.12	Facility	26	$46.77	$48.98	$295.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $229.09 / $478.63	Professional		$144.54	$229.09	$478.63
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $58.88 / $128.82	Professional	26	$39.81	$58.88	$128.82
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $147.91 / $323.59	Professional	TC	$100.00	$147.91	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $436.52	Professional		$131.83	$199.53	$436.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $61.66 / $112.20	Professional	26	$42.66	$61.66	$112.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $134.90 / $275.42	Professional	TC	$89.13	$134.90	$275.42