Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.73 / $79.14 / $89.81	Facility	26	$74.73	$79.14	$89.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.83 / $293.00 / $338.18	Professional		$231.83	$293.00	$338.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.34 / $69.81 / $109.09	Professional	26	$59.34	$69.81	$109.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $152.68 / $221.81 / $272.25	Professional	TC	$152.68	$221.81	$272.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.56 / $256.95 / $387.02	Professional		$198.56	$256.95	$387.02
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $68.50 / $88.64 / $134.07	Professional	26	$68.50	$88.64	$134.07
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $130.05 / $168.30 / $252.94	Professional	TC	$130.05	$168.30	$252.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.20 / $356.32 / $544.09	Professional		$244.20	$356.32	$544.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.27 / $105.06 / $147.09	Professional	26	$66.27	$105.06	$147.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $159.69 / $239.28 / $395.96	Professional	TC	$159.69	$239.28	$395.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $230.83 / $270.81 / $501.09	Professional		$230.83	$270.81	$501.09
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $79.97 / $93.82 / $184.45	Professional	26	$79.97	$93.82	$184.45
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $150.87 / $181.54 / $327.51	Professional	TC	$150.87	$181.54	$327.51
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $74.73 / $79.14 / $358.71	Facility	26	$74.73	$79.14	$358.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $221.43 / $293.00 / $398.84	Professional		$221.43	$293.00	$398.84
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $62.95 / $79.14 / $143.53	Professional	26	$62.95	$79.14	$143.53
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $143.49 / $199.65 / $276.17	Professional	TC	$143.49	$199.65	$276.17
United Facility/Professional Professional Modifier Low / Median / High Price $191.05 / $320.57 / $501.09	Professional		$191.05	$320.57	$501.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.31 / $99.10 / $163.31	Professional	26	$68.31	$99.10	$163.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $134.97 / $235.54 / $336.45	Professional	TC	$134.97	$235.54	$336.45