Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.43 / $73.43 / $83.71	Facility	26	$73.43	$73.43	$83.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.77 / $232.78 / $279.24	Professional		$181.77	$232.78	$279.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.15 / $62.19 / $93.94	Professional	26	$55.15	$62.19	$93.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.68 / $177.61 / $217.98	Professional	TC	$114.68	$177.61	$217.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.99 / $208.35 / $315.83	Professional		$160.99	$208.35	$315.83
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 $97.71 / $126.45 / $190.74	Professional	TC	$97.71	$126.45	$190.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.67 / $296.74 / $449.25	Professional		$197.67	$296.74	$449.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.71 / $97.48 / $136.40	Professional	26	$61.71	$97.48	$136.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $119.33 / $180.56 / $302.23	Professional	TC	$119.33	$180.56	$302.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $188.38 / $225.70 / $408.94	Professional		$188.38	$225.70	$408.94
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 $113.77 / $136.90 / $246.97	Professional	TC	$113.77	$136.90	$246.97
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 $179.94 / $253.60 / $393.49	Professional		$179.94	$253.60	$393.49
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $58.14 / $73.43 / $149.57	Professional	26	$58.14	$73.43	$149.57
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $112.69 / $173.55 / $241.59	Professional	TC	$112.69	$173.55	$241.59
United Facility/Professional Professional Modifier Low / Median / High Price $155.58 / $263.08 / $388.16	Professional		$155.58	$263.08	$388.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.39 / $91.67 / $151.51	Professional	26	$63.39	$91.67	$151.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $101.41 / $171.79 / $252.74	Professional	TC	$101.41	$171.79	$252.74