Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.34 / $68.12 / $78.34	Facility	26	$64.34	$68.12	$78.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.81 / $230.17 / $268.77	Professional		$153.81	$230.17	$268.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.28 / $59.87 / $86.74	Professional	26	$51.28	$59.87	$86.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.61 / $172.62 / $211.86	Professional	TC	$93.61	$172.62	$211.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.07 / $189.90 / $286.81	Professional		$141.07	$189.90	$286.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.86 / $76.50 / $115.41	Professional	26	$54.86	$76.50	$115.41
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $81.97 / $113.39 / $171.39	Professional	TC	$81.97	$113.39	$171.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.13 / $269.52 / $437.05	Professional		$180.13	$269.52	$437.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.17 / $90.43 / $127.23	Professional	26	$57.17	$90.43	$127.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $107.10 / $162.21 / $327.00	Professional	TC	$107.10	$162.21	$327.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $171.06 / $204.95 / $371.34	Professional		$171.06	$204.95	$371.34
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $68.84 / $83.98 / $158.78	Professional	26	$68.84	$83.98	$158.78
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $102.23 / $118.28 / $235.79	Professional	TC	$102.23	$118.28	$235.79
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $64.34 / $68.12 / $78.34	Facility	26	$64.34	$68.12	$78.34
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $165.86 / $233.44 / $333.78	Professional		$165.86	$233.44	$333.78
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $54.06 / $68.13 / $123.59	Professional	26	$54.06	$68.13	$123.59
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $101.23 / $149.77 / $211.86	Professional	TC	$101.23	$149.77	$211.86
United Facility/Professional Professional Modifier Low / Median / High Price $151.58 / $225.73 / $375.82	Professional		$151.58	$225.73	$375.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.83 / $85.39 / $150.13	Professional	26	$58.83	$85.39	$150.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $82.34 / $119.48 / $225.69	Professional	TC	$82.34	$119.48	$225.69