Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $66.07 / $66.07	Facility	26	$66.07	$66.07	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $524.81	Professional		$158.49	$223.87	$524.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $67.61 / $181.97	Professional	26	$50.12	$67.61	$181.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $173.78 / $309.03	Professional	TC	$120.23	$173.78	$309.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $616.60	Professional		$165.96	$245.47	$616.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $77.62 / $181.97	Professional	26	$53.70	$77.62	$181.97
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $165.96 / $426.58	Professional	TC	$112.20	$165.96	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $331.13 / $588.84	Professional		$218.78	$331.13	$588.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $79.43 / $154.88	Professional	26	$56.23	$79.43	$154.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $245.47 / $446.68	Professional	TC	$147.91	$245.47	$446.68
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $501.19	Professional		$199.53	$251.19	$501.19
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $81.28 / $151.36	Professional	26	$64.57	$81.28	$151.36
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $173.78 / $338.84	Professional	TC	$134.90	$173.78	$338.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $275.42 / $602.56	Professional		$165.96	$275.42	$602.56
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $83.18 / $177.83	Professional	26	$54.95	$83.18	$177.83
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $199.53 / $416.87	Professional	TC	$138.04	$199.53	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $309.03 / $549.54	Professional		$181.97	$309.03	$549.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $83.18 / $151.36	Professional	26	$57.54	$83.18	$151.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $223.87 / $389.05	Professional	TC	$125.89	$223.87	$389.05