Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.76 / $69.76 / $69.76	Facility	26	$69.76	$69.76	$69.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.63 / $282.06 / $340.04	Professional		$183.63	$282.06	$340.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $58.24 / $69.76	Professional	26	$52.46	$58.24	$69.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $136.09 / $229.59 / $281.81	Professional	TC	$136.09	$229.59	$281.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.31 / $239.82 / $354.53	Professional		$185.31	$239.82	$354.53
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.16 / $78.29 / $118.18	Professional	26	$56.16	$78.29	$118.18
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $124.60 / $161.24 / $236.36	Professional	TC	$124.60	$161.24	$236.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.67 / $333.46 / $513.00	Professional		$222.67	$333.46	$513.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.95 / $91.80 / $129.52	Professional	26	$57.95	$91.80	$129.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.87 / $234.36 / $409.00	Professional	TC	$147.87	$234.36	$409.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $211.46 / $254.46 / $459.04	Professional		$211.46	$254.46	$459.04
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $70.48 / $84.82 / $153.02	Professional	26	$70.48	$84.82	$153.02
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $140.97 / $169.64 / $306.02	Professional	TC	$140.97	$169.64	$306.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $203.11 / $285.52 / $365.15	Professional		$203.11	$285.52	$365.15
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $63.62 / $126.59	Professional	26	$52.46	$63.62	$126.59
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $133.36 / $214.72 / $285.86	Professional	TC	$133.36	$214.72	$285.86
United Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $310.97 / $492.87	Professional		$183.96	$310.97	$492.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.44 / $87.12 / $143.93	Professional	26	$62.44	$87.12	$143.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $136.21 / $223.85 / $317.58	Professional	TC	$136.21	$223.85	$317.58