Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.96 / $33.96 / $39.28	Facility	26	$33.96	$33.96	$39.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.68 / $97.87 / $161.44	Professional		$81.68	$97.87	$161.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.89 / $22.59 / $44.08	Professional	26	$19.89	$22.59	$44.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.79 / $75.18 / $117.35	Professional	TC	$61.79	$75.18	$117.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.64 / $135.28 / $185.67	Professional		$93.64	$135.28	$185.67
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.49 / $38.83 / $53.40	Professional	26	$27.49	$38.83	$53.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $66.59 / $87.71 / $132.26	Professional	TC	$66.59	$87.71	$132.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.64 / $132.25 / $236.56	Professional		$79.64	$132.25	$236.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.48 / $38.33 / $66.20	Professional	26	$25.48	$38.33	$66.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.16 / $95.24 / $170.36	Professional	TC	$56.16	$95.24	$170.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $118.71 / $142.85 / $257.70	Professional		$118.71	$142.85	$257.70
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $35.04 / $42.17 / $76.06	Professional	26	$35.04	$42.17	$76.06
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $83.68 / $100.26 / $193.01	Professional	TC	$83.68	$100.26	$193.01
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $33.96 / $34.50 / $39.28	Facility	26	$33.96	$34.50	$39.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $81.68 / $109.16 / $182.48	Professional		$81.68	$109.16	$182.48
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $20.66 / $33.96 / $53.13	Professional	26	$20.66	$33.96	$53.13
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $61.79 / $75.80 / $129.36	Professional	TC	$61.79	$75.80	$129.36
United Facility/Professional Professional Modifier Low / Median / High Price $97.80 / $120.06 / $242.68	Professional		$97.80	$120.06	$242.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.58 / $35.04 / $70.72	Professional	26	$29.58	$35.04	$70.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.12 / $96.08 / $167.15	Professional	TC	$67.12	$96.08	$167.15