Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $33.11 / $33.11	Facility	26	$33.11	$33.11	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $117.49 / $331.13	Professional		$61.66	$117.49	$331.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $33.88 / $81.28	Professional	26	$23.99	$33.88	$81.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $85.11 / $239.88	Professional	TC	$23.99	$85.11	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $245.47	Professional		$100.00	$128.82	$245.47
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $38.90 / $89.13	Professional	26	$26.92	$38.90	$89.13
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $93.33 / $177.83	Professional	TC	$72.44	$93.33	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $144.54 / $316.23	Professional		$91.20	$144.54	$316.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $37.15 / $77.62	Professional	26	$28.18	$37.15	$77.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $107.15 / $218.78	Professional	TC	$60.26	$107.15	$218.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $281.84	Professional		$120.23	$151.36	$281.84
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $40.74 / $75.86	Professional	26	$32.36	$40.74	$75.86
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $109.65 / $208.93	Professional	TC	$87.10	$109.65	$208.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $128.82 / $354.81	Professional		$69.18	$128.82	$354.81
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $38.02 / $85.11	Professional	26	$25.12	$38.02	$85.11
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $91.20 / $218.78	Professional	TC	$42.66	$91.20	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $281.84	Professional		$95.50	$141.25	$281.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $40.74 / $75.86	Professional	26	$28.84	$40.74	$75.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $104.71 / $204.17	Professional	TC	$66.07	$104.71	$204.17