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 $221.77 / $274.70 / $331.29	Professional		$221.77	$274.70	$331.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $57.59 / $84.64	Professional	26	$50.07	$57.59	$84.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $148.26 / $219.14 / $264.25	Professional	TC	$148.26	$219.14	$264.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.84 / $236.62 / $350.39	Professional		$182.84	$236.62	$350.39
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.16 / $74.45 / $112.65	Professional	26	$57.16	$74.45	$112.65
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $123.49 / $162.16 / $237.74	Professional	TC	$123.49	$162.16	$237.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.15 / $329.58 / $525.46	Professional		$225.15	$329.58	$525.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.65 / $87.91 / $123.18	Professional	26	$55.65	$87.91	$123.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.66 / $226.53 / $383.96	Professional	TC	$154.66	$226.53	$383.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $141.80 / $241.80 / $453.68	Professional		$141.80	$241.80	$453.68
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 $141.80 / $173.00 / $327.06	Professional	TC	$141.80	$173.00	$327.06
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $200.91 / $274.70 / $338.16	Professional		$200.91	$274.70	$338.16
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $52.81 / $66.23 / $102.04	Professional	26	$52.81	$66.23	$102.04
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $140.29 / $191.08 / $275.69	Professional	TC	$140.29	$191.08	$275.69
United Facility/Professional Professional Modifier Low / Median / High Price $196.26 / $306.91 / $457.60	Professional		$196.26	$306.91	$457.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.29 / $91.65 / $145.86	Professional	26	$66.29	$91.65	$145.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $137.50 / $223.85 / $320.94	Professional	TC	$137.50	$223.85	$320.94