Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.70 / $80.09 / $90.75	Facility	26	$79.70	$80.09	$90.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.20 / $381.78 / $446.28	Professional		$271.20	$381.78	$446.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.39 / $70.52 / $101.76	Professional	26	$60.39	$70.52	$101.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $200.43 / $318.11 / $375.83	Professional	TC	$200.43	$318.11	$375.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.93 / $355.24 / $545.28	Professional		$263.93	$355.24	$545.28
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.19 / $89.55 / $135.46	Professional	26	$69.19	$89.55	$135.46
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $188.71 / $252.01 / $409.82	Professional	TC	$188.71	$252.01	$409.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.17 / $501.09 / $747.71	Professional		$345.17	$501.09	$747.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.01 / $106.31 / $149.12	Professional	26	$67.01	$106.31	$149.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $259.45 / $381.39 / $526.16	Professional	TC	$259.45	$381.39	$526.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $325.23 / $391.36 / $706.01	Professional		$325.23	$391.36	$706.01
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $80.79 / $97.22 / $175.38	Professional	26	$80.79	$97.22	$175.38
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $244.43 / $294.14 / $530.61	Professional	TC	$244.43	$294.14	$530.61
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $79.70 / $80.09 / $90.75	Facility	26	$79.70	$80.09	$90.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $286.17 / $410.67 / $581.51	Professional		$286.17	$410.67	$581.51
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $63.67 / $80.09 / $145.05	Professional	26	$63.67	$80.09	$145.05
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $206.08 / $318.11 / $418.12	Professional	TC	$206.08	$318.11	$418.12
United Facility/Professional Professional Modifier Low / Median / High Price $261.45 / $371.99 / $658.76	Professional		$261.45	$371.99	$658.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $100.14 / $165.26	Professional	26	$69.18	$100.14	$165.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $192.27 / $309.27 / $498.34	Professional	TC	$192.27	$309.27	$498.34