Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $58.88 / $58.88	Facility	26	$58.88	$58.88	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $158.49 / $302.00	Professional		$104.71	$158.49	$302.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $56.23 / $109.65	Professional	26	$30.20	$56.23	$109.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $112.20 / $204.17	Professional	TC	$77.62	$112.20	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $295.12	Professional		$134.90	$194.98	$295.12
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $60.26 / $91.20	Professional	26	$32.36	$60.26	$91.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $134.90 / $199.53	Professional	TC	$100.00	$134.90	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $204.17 / $346.74	Professional		$117.49	$204.17	$346.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $63.10 / $123.03	Professional	26	$33.11	$63.10	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $138.04 / $239.88	Professional	TC	$91.20	$138.04	$239.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $426.58	Professional		$181.97	$223.87	$426.58
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $72.44 / $138.04	Professional	26	$57.54	$72.44	$138.04
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $154.88 / $288.40	Professional	TC	$123.03	$154.88	$288.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $389.05	Professional		$123.03	$190.55	$389.05
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $66.07 / $117.49	Professional	26	$33.88	$66.07	$117.49
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $128.82 / $288.40	Professional	TC	$89.13	$128.82	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $407.38	Professional		$144.54	$208.93	$407.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $60.26 / $104.71	Professional	26	$44.67	$60.26	$104.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $154.88 / $257.04	Professional	TC	$93.33	$154.88	$257.04