Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.58 / $23.58 / $28.04	Facility	26	$23.58	$23.58	$28.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.26 / $86.40 / $166.90	Professional		$70.26	$86.40	$166.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.16 / $20.57 / $31.24	Professional	26	$18.16	$20.57	$31.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.57 / $65.59 / $135.65	Professional	TC	$55.57	$65.59	$135.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.42 / $123.83 / $188.21	Professional		$95.42	$123.83	$188.21
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.41 / $27.00 / $37.51	Professional	26	$19.41	$27.00	$37.51
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $76.01 / $97.68 / $150.69	Professional	TC	$76.01	$97.68	$150.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.55 / $129.88 / $220.67	Professional		$95.55	$129.88	$220.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.98 / $31.59 / $46.95	Professional	26	$21.98	$31.59	$46.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.56 / $103.63 / $176.07	Professional	TC	$69.56	$103.63	$176.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $121.60 / $142.66 / $280.47	Professional		$121.60	$142.66	$280.47
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $24.73 / $29.77 / $53.68	Professional	26	$24.73	$29.77	$53.68
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $96.87 / $116.57 / $210.29	Professional	TC	$96.87	$116.57	$210.29
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $23.58 / $23.58 / $28.04	Facility	26	$23.58	$23.58	$28.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $105.67 / $178.67	Professional		$73.73	$105.67	$178.67
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $18.16 / $23.58 / $41.85	Professional	26	$18.16	$23.58	$41.85
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $55.57 / $82.08 / $149.56	Professional	TC	$55.57	$82.08	$149.56
United Facility/Professional Professional Modifier Low / Median / High Price $94.55 / $120.83 / $234.93	Professional		$94.55	$120.83	$234.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.29 / $29.10 / $52.44	Professional	26	$21.29	$29.10	$52.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.09 / $96.87 / $170.88	Professional	TC	$72.09	$96.87	$170.88