Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.56 / $69.76 / $69.76	Facility	26	$69.56	$69.76	$69.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.75 / $282.06 / $340.04	Professional		$191.75	$282.06	$340.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.78 / $58.91 / $87.74	Professional	26	$52.78	$58.91	$87.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $135.51 / $229.28 / $281.42	Professional	TC	$135.51	$229.28	$281.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.63 / $239.82 / $355.92	Professional		$185.63	$239.82	$355.92
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 / $237.74	Professional	TC	$124.60	$161.24	$237.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.91 / $334.78 / $543.14	Professional		$227.91	$334.78	$543.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.95 / $92.60 / $129.52	Professional	26	$57.95	$92.60	$129.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $153.80 / $234.36 / $409.00	Professional	TC	$153.80	$234.36	$409.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $212.28 / $255.45 / $460.82	Professional		$212.28	$255.45	$460.82
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 $141.80 / $170.63 / $307.82	Professional	TC	$141.80	$170.63	$307.82
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $69.56 / $69.56 / $69.76	Facility	26	$69.56	$69.56	$69.76
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $195.74 / $282.06 / $366.54	Professional		$195.74	$282.06	$366.54
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $52.78 / $63.62 / $126.59	Professional	26	$52.78	$63.62	$126.59
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $134.13 / $187.63 / $281.42	Professional	TC	$134.13	$187.63	$281.42
United Facility/Professional Professional Modifier Low / Median / High Price $198.30 / $310.49 / $462.35	Professional		$198.30	$310.49	$462.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.24 / $87.12 / $153.71	Professional	26	$60.24	$87.12	$153.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $124.05 / $223.37 / $340.06	Professional	TC	$124.05	$223.37	$340.06