Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.12 / $31.12 / $32.35	Facility	26	$31.12	$31.12	$32.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.63 / $219.82	Professional		$79.43	$109.63	$219.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.69 / $26.22 / $41.62	Professional	26	$20.69	$26.22	$41.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.95 / $83.70 / $178.18	Professional	TC	$58.95	$83.70	$178.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $167.53 / $251.17	Professional		$125.50	$167.53	$251.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.88 / $36.54 / $50.23	Professional	26	$25.88	$36.54	$50.23
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $99.63 / $132.19 / $195.39	Professional	TC	$99.63	$132.19	$195.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.24 / $175.08 / $297.47	Professional		$123.24	$175.08	$297.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.12 / $42.48 / $62.23	Professional	26	$26.12	$42.48	$62.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.80 / $140.29 / $238.35	Professional	TC	$93.80	$140.29	$238.35
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $159.93 / $192.45 / $347.18	Professional		$159.93	$192.45	$347.18
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $32.97 / $39.68 / $71.59	Professional	26	$32.97	$39.68	$71.59
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $126.96 / $154.88 / $292.83	Professional	TC	$126.96	$154.88	$292.83
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $31.12 / $31.12 / $32.35	Facility	26	$31.12	$31.12	$32.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $97.57 / $136.69 / $234.94	Professional		$97.57	$136.69	$234.94
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $23.64 / $31.12 / $58.88	Professional	26	$23.64	$31.12	$58.88
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $73.93 / $105.57 / $193.71	Professional	TC	$73.93	$105.57	$193.71
United Facility/Professional Professional Modifier Low / Median / High Price $121.62 / $163.71 / $303.93	Professional		$121.62	$163.71	$303.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.15 / $39.04 / $64.81	Professional	26	$28.15	$39.04	$64.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $85.63 / $106.59 / $216.91	Professional	TC	$85.63	$106.59	$216.91