Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $57.54 / $64.57	Facility	26	$57.54	$57.54	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $467.74	Professional		$134.90	$204.17	$467.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $57.54 / $169.82	Professional	26	$41.69	$57.54	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $131.83 / $309.03	Professional	TC	$91.20	$131.83	$309.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $478.63	Professional		$128.82	$190.55	$478.63
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $66.07 / $154.88	Professional	26	$46.77	$66.07	$154.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $123.03 / $316.23	Professional	TC	$83.18	$123.03	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $281.84 / $588.84	Professional		$169.82	$281.84	$588.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $69.18 / $131.83	Professional	26	$51.29	$69.18	$131.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $194.98 / $398.11	Professional	TC	$109.65	$194.98	$398.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $389.05	Professional		$158.49	$199.53	$389.05
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $70.79 / $131.83	Professional	26	$56.23	$70.79	$131.83
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $128.82 / $251.19	Professional	TC	$102.33	$128.82	$251.19
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $57.54 / $64.57	Facility	26	$57.54	$57.54	$64.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $524.81	Professional		$151.36	$229.09	$524.81
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $70.79 / $158.49	Professional	26	$45.71	$70.79	$158.49
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $151.36 / $331.13	Professional	TC	$100.00	$151.36	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $251.19 / $436.52	Professional		$147.91	$251.19	$436.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $70.79 / $131.83	Professional	26	$48.98	$70.79	$131.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $173.78 / $302.00	Professional	TC	$97.72	$173.78	$302.00