Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.63 / $39.63 / $39.63	Facility	26	$39.63	$39.63	$39.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.89 / $117.76 / $181.31	Professional		$99.89	$117.76	$181.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.21 / $35.36 / $51.21	Professional	26	$31.21	$35.36	$51.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $68.67 / $81.98 / $130.10	Professional	TC	$68.67	$81.98	$130.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.53 / $151.63 / $209.20	Professional		$105.53	$151.63	$209.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.02 / $45.22 / $62.31	Professional	26	$32.02	$45.22	$62.31
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $73.95 / $102.57 / $146.87	Professional	TC	$73.95	$102.57	$146.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $149.04 / $253.23	Professional		$120.54	$149.04	$253.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.52 / $52.39 / $74.09	Professional	26	$37.52	$52.39	$74.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.00 / $105.84 / $179.83	Professional	TC	$75.00	$105.84	$179.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $133.55 / $160.71 / $289.91	Professional		$133.55	$160.71	$289.91
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $40.81 / $49.11 / $88.59	Professional	26	$40.81	$49.11	$88.59
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $92.75 / $111.61 / $201.34	Professional	TC	$92.75	$111.61	$201.34
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $100.20 / $123.32 / $191.83	Professional		$100.20	$123.32	$191.83
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $31.46 / $39.63 / $58.65	Professional	26	$31.46	$39.63	$58.65
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $68.75 / $83.70 / $141.40	Professional	TC	$68.75	$83.70	$141.40
United Facility/Professional Professional Modifier Low / Median / High Price $102.41 / $148.25 / $256.73	Professional		$102.41	$148.25	$256.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.72 / $49.74 / $82.49	Professional	26	$35.72	$49.74	$82.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.70 / $108.70 / $164.62	Professional	TC	$74.70	$108.70	$164.62