Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $47.86 / $52.48	Facility	26	$45.71	$47.86	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $281.84	Professional		$89.13	$125.89	$281.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $44.67 / $104.71	Professional	26	$30.20	$44.67	$104.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $87.10 / $165.96	Professional	TC	$61.66	$87.10	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $229.09	Professional		$109.65	$154.88	$229.09
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $48.98 / $70.79	Professional	26	$31.62	$48.98	$70.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $109.65 / $158.49	Professional	TC	$77.62	$109.65	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $162.18 / $275.42	Professional		$97.72	$162.18	$275.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $52.48 / $95.50	Professional	26	$33.11	$52.48	$95.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $109.65 / $190.55	Professional	TC	$66.07	$109.65	$190.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $346.74	Professional		$147.91	$186.21	$346.74
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $57.54 / $107.15	Professional	26	$45.71	$57.54	$107.15
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $128.82 / $239.88	Professional	TC	$102.33	$128.82	$239.88
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $47.86 / $52.48	Facility	26	$45.71	$47.86	$52.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $323.59	Professional		$112.20	$151.36	$323.59
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $52.48 / $100.00	Professional	26	$33.11	$52.48	$100.00
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $107.15 / $223.87	Professional	TC	$77.62	$107.15	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $309.03	Professional		$112.20	$162.18	$309.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $50.12 / $97.72	Professional	26	$39.81	$50.12	$97.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $109.65 / $199.53	Professional	TC	$74.13	$109.65	$199.53