Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $77.62 / $891.25	Facility	26	$64.57	$77.62	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $218.78 / $512.86	Professional		$138.04	$218.78	$512.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $69.18 / $173.78	Professional	26	$51.29	$69.18	$173.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $125.89 / $281.84	Professional	TC	$81.28	$125.89	$281.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $457.09	Professional		$134.90	$199.53	$457.09
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $79.43 / $186.21	Professional	26	$54.95	$79.43	$186.21
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $120.23 / $288.40	Professional	TC	$81.28	$120.23	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $275.42 / $575.44	Professional		$151.36	$275.42	$575.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $83.18 / $158.49	Professional	26	$57.54	$83.18	$158.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $190.55 / $371.54	Professional	TC	$91.20	$190.55	$371.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $389.05	Professional		$165.96	$208.93	$389.05
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $83.18 / $165.96	Professional	26	$66.07	$83.18	$165.96
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $123.03 / $245.47	Professional	TC	$97.72	$123.03	$245.47
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $67.61 / $891.25	Facility	26	$64.57	$67.61	$891.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $245.47 / $512.86	Professional		$154.88	$245.47	$512.86
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $81.28 / $173.78	Professional	26	$57.54	$81.28	$173.78
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $151.36 / $323.59	Professional	TC	$93.33	$151.36	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $213.80 / $407.38	Professional		$141.25	$213.80	$407.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $85.11 / $154.88	Professional	26	$58.88	$85.11	$154.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $125.89 / $257.04	Professional	TC	$83.18	$125.89	$257.04