Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.03 / $33.03 / $33.03	Facility	26	$33.03	$33.03	$33.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.51 / $73.48 / $171.78	Professional		$66.51	$73.48	$171.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.03 / $28.17 / $42.49	Professional	26	$24.03	$28.17	$42.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.75 / $52.11 / $129.28	Professional	TC	$27.75	$52.11	$129.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.43 / $127.19 / $211.48	Professional		$103.43	$127.19	$211.48
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.51 / $36.90 / $56.67	Professional	26	$28.51	$36.90	$56.67
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.45 / $92.01 / $154.81	Professional	TC	$72.45	$92.01	$154.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.38 / $151.22 / $232.03	Professional		$90.38	$151.22	$232.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.25 / $42.92 / $61.57	Professional	26	$29.25	$42.92	$61.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.73 / $107.90 / $170.46	Professional	TC	$60.73	$107.90	$170.46
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $126.13 / $151.79 / $273.80	Professional		$126.13	$151.79	$273.80
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $33.79 / $40.68 / $73.37	Professional	26	$33.79	$40.68	$73.37
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $92.33 / $111.11 / $200.43	Professional	TC	$92.33	$111.11	$200.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $69.44 / $119.93 / $193.77	Professional		$69.44	$119.93	$193.77
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $25.25 / $33.03 / $51.22	Professional	26	$25.25	$33.03	$51.22
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $42.50 / $86.90 / $140.35	Professional	TC	$42.50	$86.90	$140.35
United Facility/Professional Professional Modifier Low / Median / High Price $90.49 / $141.00 / $247.47	Professional		$90.49	$141.00	$247.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.59 / $45.30 / $54.47	Professional	26	$29.59	$45.30	$54.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.87 / $98.46 / $179.29	Professional	TC	$69.87	$98.46	$179.29