Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.82 / $45.82 / $52.71	Facility	26	$45.82	$45.82	$52.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.51 / $120.48 / $202.59	Professional		$89.51	$120.48	$202.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.91 / $34.93 / $59.15	Professional	26	$29.91	$34.93	$59.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.61 / $87.26 / $143.43	Professional	TC	$63.61	$87.26	$143.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.02 / $170.96 / $233.99	Professional		$118.02	$170.96	$233.99
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.88 / $49.22 / $71.84	Professional	26	$36.88	$49.22	$71.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $81.62 / $117.78 / $162.13	Professional	TC	$81.62	$117.78	$162.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.20 / $165.84 / $296.64	Professional		$105.20	$165.84	$296.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.77 / $57.15 / $88.36	Professional	26	$34.77	$57.15	$88.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.02 / $116.44 / $208.28	Professional	TC	$66.02	$116.44	$208.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $149.22 / $179.57 / $323.93	Professional		$149.22	$179.57	$323.93
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $46.99 / $56.54 / $102.01	Professional	26	$46.99	$56.54	$102.01
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $102.23 / $123.01 / $221.92	Professional	TC	$102.23	$123.01	$221.92
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $45.82 / $46.25 / $52.71	Facility	26	$45.82	$46.25	$52.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $101.04 / $136.41 / $229.33	Professional		$101.04	$136.41	$229.33
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $31.76 / $45.82 / $71.27	Professional	26	$31.76	$45.82	$71.27
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $71.14 / $90.58 / $158.08	Professional	TC	$71.14	$90.58	$158.08
United Facility/Professional Professional Modifier Low / Median / High Price $113.39 / $160.05 / $303.26	Professional		$113.39	$160.05	$303.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.92 / $54.67 / $101.87	Professional	26	$39.92	$54.67	$101.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $73.47 / $104.22 / $188.58	Professional	TC	$73.47	$104.22	$188.58