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 $223.87 / $288.40 / $630.96	Professional		$223.87	$288.40	$630.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $69.18 / $177.83	Professional	26	$51.29	$69.18	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $213.80 / $446.68	Professional	TC	$165.96	$213.80	$446.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $794.33	Professional		$234.42	$338.84	$794.33
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 $177.83 / $257.04 / $602.56	Professional	TC	$177.83	$257.04	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $457.09 / $741.31	Professional		$275.42	$457.09	$741.31
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 $218.78 / $363.08 / $575.44	Professional	TC	$218.78	$363.08	$575.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $724.44	Professional		$302.00	$380.19	$724.44
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 $234.42 / $295.12 / $562.34	Professional	TC	$234.42	$295.12	$562.34
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 $263.03 / $380.19 / $758.58	Professional		$263.03	$380.19	$758.58
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $81.28 / $186.21	Professional	26	$57.54	$81.28	$186.21
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $288.40 / $562.34	Professional	TC	$190.55	$288.40	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $380.19 / $724.44	Professional		$257.04	$380.19	$724.44
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 $194.98 / $295.12 / $549.54	Professional	TC	$194.98	$295.12	$549.54