Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.23 / $66.23 / $66.23	Facility	26	$66.23	$66.23	$66.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.66 / $272.22 / $335.06	Professional		$220.66	$272.22	$335.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $56.11 / $83.57	Professional	26	$50.07	$56.11	$83.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $164.55 / $222.12 / $276.56	Professional	TC	$164.55	$222.12	$276.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.37 / $282.60 / $420.19	Professional		$218.37	$282.60	$420.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.78 / $73.98 / $112.65	Professional	26	$56.78	$73.98	$112.65
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $160.50 / $207.90 / $307.54	Professional	TC	$160.50	$207.90	$307.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.45 / $359.17 / $580.36	Professional		$268.45	$359.17	$580.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.30 / $87.91 / $122.42	Professional	26	$55.30	$87.91	$122.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $197.19 / $269.20 / $428.16	Professional	TC	$197.19	$269.20	$428.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $250.62 / $301.58 / $544.04	Professional		$250.62	$301.58	$544.04
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $67.19 / $80.84 / $145.86	Professional	26	$67.19	$80.84	$145.86
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $183.43 / $219.77 / $423.08	Professional	TC	$183.43	$219.77	$423.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $231.39 / $293.48 / $431.13	Professional		$231.39	$293.48	$431.13
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $52.81 / $66.23 / $120.61	Professional	26	$52.81	$66.23	$120.61
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $181.61 / $230.79 / $310.52	Professional	TC	$181.61	$230.79	$310.52
United Facility/Professional Professional Modifier Low / Median / High Price $208.82 / $313.05 / $526.95	Professional		$208.82	$313.05	$526.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.61 / $83.06 / $136.66	Professional	26	$58.61	$83.06	$136.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $166.73 / $219.56 / $415.68	Professional	TC	$166.73	$219.56	$415.68