Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $34.67 / $38.90	Facility	26	$33.88	$34.67	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $102.33 / $208.93	Professional		$69.18	$102.33	$208.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $33.88 / $69.18	Professional	26	$19.95	$33.88	$69.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $72.44 / $134.90	Professional	TC	$52.48	$72.44	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $181.97	Professional		$87.10	$123.03	$181.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $36.31 / $53.70	Professional	26	$23.99	$36.31	$53.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $87.10 / $128.82	Professional	TC	$63.10	$87.10	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $128.82 / $218.78	Professional		$77.62	$128.82	$218.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $38.02 / $70.79	Professional	26	$22.39	$38.02	$70.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $93.33 / $154.88	Professional	TC	$53.70	$93.33	$154.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $269.15	Professional		$114.82	$144.54	$269.15
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $41.69 / $77.62	Professional	26	$33.88	$41.69	$77.62
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $100.00 / $190.55	Professional	TC	$79.43	$100.00	$190.55
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $34.67 / $38.90	Facility	26	$33.88	$34.67	$38.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $245.47	Professional		$87.10	$120.23	$245.47
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $36.31 / $69.18	Professional	26	$22.39	$36.31	$69.18
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $85.11 / $181.97	Professional	TC	$61.66	$85.11	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $251.19	Professional		$91.20	$125.89	$251.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $36.31 / $64.57	Professional	26	$28.18	$36.31	$64.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $89.13 / $165.96	Professional	TC	$61.66	$89.13	$165.96