Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $35.48 / $38.02	Facility	26	$33.11	$35.48	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $229.09	Professional		$79.43	$131.83	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $28.18 / $67.61	Professional	26	$20.89	$28.18	$67.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $102.33 / $204.17	Professional	TC	$57.54	$102.33	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $162.18 / $234.42	Professional		$89.13	$162.18	$234.42
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $35.48 / $53.70	Professional	26	$25.12	$35.48	$53.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $123.03 / $181.97	Professional	TC	$64.57	$123.03	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $169.82 / $281.84	Professional		$102.33	$169.82	$281.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $39.81 / $69.18	Professional	26	$26.30	$39.81	$69.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $123.03 / $223.87	Professional	TC	$77.62	$123.03	$223.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $380.19	Professional		$162.18	$199.53	$380.19
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $42.66 / $81.28	Professional	26	$34.67	$42.66	$81.28
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $158.49 / $302.00	Professional	TC	$125.89	$158.49	$302.00
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $35.48 / $38.02	Facility	26	$33.11	$35.48	$38.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $154.88 / $331.13	Professional		$100.00	$154.88	$331.13
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $33.11 / $75.86	Professional	26	$25.12	$33.11	$75.86
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $123.03 / $251.19	Professional	TC	$74.13	$123.03	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $316.23	Professional		$114.82	$165.96	$316.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $40.74 / $74.13	Professional	26	$28.84	$40.74	$74.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $125.89 / $229.09	Professional	TC	$87.10	$125.89	$229.09