Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.07 / $51.07 / $51.07	Facility	26	$51.07	$51.07	$51.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.14 / $130.41 / $229.07	Professional		$109.14	$130.41	$229.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.91 / $33.95 / $65.38	Professional	26	$29.91	$33.95	$65.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.23 / $97.21 / $163.71	Professional	TC	$79.23	$97.21	$163.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.75 / $190.28 / $265.14	Professional		$133.75	$190.28	$265.14
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.76 / $53.03 / $80.11	Professional	26	$40.76	$53.03	$80.11
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.13 / $134.40 / $185.04	Professional	TC	$93.13	$134.40	$185.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.48 / $189.26 / $338.53	Professional		$113.48	$189.26	$338.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.90 / $57.15 / $98.66	Professional	26	$34.90	$57.15	$98.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $78.20 / $134.10 / $239.88	Professional	TC	$78.20	$134.10	$239.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $168.59 / $202.88 / $365.98	Professional		$168.59	$202.88	$365.98
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $51.94 / $62.50 / $112.75	Professional	26	$51.94	$62.50	$112.75
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $116.65 / $140.38 / $253.22	Professional	TC	$116.65	$140.38	$253.22
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $109.14 / $157.05 / $259.27	Professional		$109.14	$157.05	$259.27
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $29.91 / $51.07 / $78.84	Professional	26	$29.91	$51.07	$78.84
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $79.23 / $105.98 / $180.41	Professional	TC	$79.23	$105.98	$180.41
United Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $190.72 / $349.17	Professional		$140.75	$190.72	$349.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.51 / $59.80 / $106.35	Professional	26	$44.51	$59.80	$106.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $94.56 / $132.38 / $253.22	Professional	TC	$94.56	$132.38	$253.22