Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.28 / $33.28 / $33.39	Facility	26	$33.28	$33.28	$33.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.30 / $101.97 / $139.66	Professional		$80.30	$101.97	$139.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.95 / $26.99 / $33.29	Professional	26	$21.95	$26.99	$33.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.95 / $75.26 / $110.02	Professional	TC	$58.95	$75.26	$110.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.77 / $169.16 / $246.07	Professional		$121.77	$169.16	$246.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.13 / $38.36 / $53.40	Professional	26	$27.13	$38.36	$53.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $94.13 / $125.65 / $192.66	Professional	TC	$94.13	$125.65	$192.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.56 / $173.84 / $302.45	Professional		$122.56	$173.84	$302.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.13 / $44.58 / $65.12	Professional	26	$26.13	$44.58	$65.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.90 / $133.97 / $240.61	Professional	TC	$91.90	$133.97	$240.61
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $154.16 / $185.51 / $334.65	Professional		$154.16	$185.51	$334.65
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $34.21 / $41.17 / $74.26	Professional	26	$34.21	$41.17	$74.26
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $119.95 / $144.34 / $260.39	Professional	TC	$119.95	$144.34	$260.39
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $33.28 / $33.28 / $33.39	Facility	26	$33.28	$33.28	$33.39
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $111.21 / $206.37	Professional		$90.73	$111.21	$206.37
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $24.26 / $28.43 / $42.69	Professional	26	$24.26	$28.43	$42.69
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $66.45 / $82.78 / $158.82	Professional	TC	$66.45	$82.78	$158.82
United Facility/Professional Professional Modifier Low / Median / High Price $123.20 / $151.63 / $290.75	Professional		$123.20	$151.63	$290.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.32 / $40.81 / $74.00	Professional	26	$30.32	$40.81	$74.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.28 / $106.61 / $221.45	Professional	TC	$86.28	$106.61	$221.45