Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $70.79 / $70.79	Facility	26	$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $489.78	Professional		$131.83	$194.98	$489.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $61.66 / $162.18	Professional	26	$47.86	$61.66	$162.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $120.23 / $281.84	Professional	TC	$83.18	$120.23	$281.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $446.68	Professional		$131.83	$194.98	$446.68
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $72.44 / $169.82	Professional	26	$50.12	$72.44	$169.82
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $120.23 / $288.40	Professional	TC	$83.18	$120.23	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $269.15 / $588.84	Professional		$147.91	$269.15	$588.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $75.86 / $144.54	Professional	26	$52.48	$75.86	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $194.98 / $380.19	Professional	TC	$93.33	$194.98	$380.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $398.11	Professional		$158.49	$204.17	$398.11
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $75.86 / $141.25	Professional	26	$60.26	$75.86	$141.25
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $125.89 / $251.19	Professional	TC	$100.00	$125.89	$251.19
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $70.79 / $70.79	Facility	26	$70.79	$70.79	$70.79
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $223.87 / $478.63	Professional		$144.54	$223.87	$478.63
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $72.44 / $158.49	Professional	26	$50.12	$72.44	$158.49
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $141.25 / $309.03	Professional	TC	$95.50	$141.25	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $398.11	Professional		$138.04	$208.93	$398.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $77.62 / $141.25	Professional	26	$53.70	$77.62	$141.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $128.82 / $263.03	Professional	TC	$83.18	$128.82	$263.03