Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $69.18 / $70.79	Facility	26	$69.18	$69.18	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $602.56	Professional		$173.78	$234.42	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $69.18 / $186.21	Professional	26	$52.48	$69.18	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $173.78 / $302.00	Professional	TC	$117.49	$173.78	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $630.96	Professional		$169.82	$245.47	$630.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $81.28 / $190.55	Professional	26	$56.23	$81.28	$190.55
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $165.96 / $426.58	Professional	TC	$112.20	$165.96	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $645.65	Professional		$223.87	$338.84	$645.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $83.18 / $162.18	Professional	26	$57.54	$83.18	$162.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $263.03 / $446.68	Professional	TC	$147.91	$263.03	$446.68
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $257.04 / $478.63	Professional		$204.17	$257.04	$478.63
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $85.11 / $162.18	Professional	26	$67.61	$85.11	$162.18
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $173.78 / $338.84	Professional	TC	$134.90	$173.78	$338.84
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $69.18 / $70.79	Facility	26	$69.18	$69.18	$70.79
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $616.60	Professional		$194.98	$295.12	$616.60
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $81.28 / $177.83	Professional	26	$57.54	$81.28	$177.83
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $208.93 / $457.09	Professional	TC	$134.90	$208.93	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $316.23 / $549.54	Professional		$186.21	$316.23	$549.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $87.10 / $158.49	Professional	26	$60.26	$87.10	$158.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $223.87 / $389.05	Professional	TC	$123.03	$223.87	$389.05