Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.44 / $23.44 / $28.18	Facility	26	$23.44	$23.44	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $104.71 / $169.82	Professional		$67.61	$104.71	$169.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $20.89 / $44.67	Professional	26	$15.85	$20.89	$44.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $79.43 / $151.36	Professional	TC	$48.98	$79.43	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $181.97	Professional		$89.13	$123.03	$181.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $25.70 / $37.15	Professional	26	$17.38	$25.70	$37.15
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $97.72 / $141.25	Professional	TC	$72.44	$97.72	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $223.87	Professional		$91.20	$125.89	$223.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $26.92 / $50.12	Professional	26	$21.88	$26.92	$50.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $97.72 / $177.83	Professional	TC	$67.61	$97.72	$177.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $281.84	Professional		$120.23	$151.36	$281.84
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $30.20 / $56.23	Professional	26	$23.99	$30.20	$56.23
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $120.23 / $229.09	Professional	TC	$95.50	$120.23	$229.09
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $23.44 / $23.44 / $28.18	Facility	26	$23.44	$23.44	$28.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $223.87	Professional		$79.43	$117.49	$223.87
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $25.70 / $58.88	Professional	26	$18.20	$25.70	$58.88
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $95.50 / $169.82	Professional	TC	$60.26	$95.50	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $239.88	Professional		$87.10	$123.03	$239.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $28.84 / $53.70	Professional	26	$20.42	$28.84	$53.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $97.72 / $181.97	Professional	TC	$66.07	$97.72	$181.97