Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.05 / $30.05 / $34.60	Facility	26	$30.05	$30.05	$34.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.81 / $98.91 / $206.56	Professional		$82.81	$98.91	$206.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.87 / $25.97 / $40.93	Professional	26	$22.87	$25.97	$40.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.92 / $78.23 / $167.75	Professional	TC	$59.92	$78.23	$167.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.87 / $173.34 / $237.81	Professional		$119.87	$173.34	$237.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.26 / $34.71 / $47.69	Professional	26	$24.26	$34.71	$47.69
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $95.69 / $137.72 / $190.12	Professional	TC	$95.69	$137.72	$190.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.02 / $167.86 / $291.45	Professional		$89.02	$167.86	$291.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.38 / $40.32 / $59.07	Professional	26	$25.38	$40.32	$59.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.00 / $133.30 / $235.35	Professional	TC	$59.00	$133.30	$235.35
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $150.44 / $181.04 / $326.60	Professional		$150.44	$181.04	$326.60
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $30.92 / $37.20 / $67.12	Professional	26	$30.92	$37.20	$67.12
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $119.54 / $143.84 / $259.50	Professional	TC	$119.54	$143.84	$259.50
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $30.05 / $30.40 / $34.60	Facility	26	$30.05	$30.40	$34.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $93.06 / $146.96 / $231.69	Professional		$93.06	$146.96	$231.69
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $23.75 / $30.05 / $46.79	Professional	26	$23.75	$30.05	$46.79
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $67.84 / $116.91 / $184.89	Professional	TC	$67.84	$116.91	$184.89
United Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $181.58 / $305.95	Professional		$121.00	$181.58	$305.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.07 / $38.04 / $62.58	Professional	26	$27.07	$38.04	$62.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $94.83 / $139.88 / $243.37	Professional	TC	$94.83	$139.88	$243.37