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 $66.97 / $84.35 / $134.96	Professional		$66.97	$84.35	$134.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.96 / $33.78 / $50.42	Professional	26	$26.96	$33.78	$50.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.01 / $49.00 / $83.76	Professional	TC	$40.01	$49.00	$83.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.30 / $114.97 / $157.05	Professional		$79.30	$114.97	$157.05
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 $47.71 / $65.91 / $94.74	Professional	TC	$47.71	$65.91	$94.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.83 / $111.50 / $189.45	Professional		$90.83	$111.50	$189.45
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 $48.27 / $68.30 / $116.05	Professional	TC	$48.27	$68.30	$116.05
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $94.13 / $116.37 / $218.34	Professional		$94.13	$116.37	$218.34
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $40.81 / $49.79 / $94.13	Professional	26	$40.81	$49.79	$94.13
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $59.77 / $71.92 / $129.75	Professional	TC	$59.77	$71.92	$129.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $75.43 / $91.78 / $141.40	Professional		$75.43	$91.78	$141.40
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $31.21 / $35.90 / $57.11	Professional	26	$31.21	$35.90	$57.11
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $44.21 / $53.87 / $90.98	Professional	TC	$44.21	$53.87	$90.98
United Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $113.11 / $194.64	Professional		$83.73	$113.11	$194.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.72 / $51.45 / $82.49	Professional	26	$35.72	$51.45	$82.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.68 / $65.44 / $119.77	Professional	TC	$43.68	$65.44	$119.77