Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.92 / $77.95 / $123.73	Professional		$64.92	$77.95	$123.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.57 / $18.53 / $21.43	Professional	26	$14.57	$18.53	$21.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.35 / $60.10 / $104.68	Professional	TC	$50.35	$60.10	$104.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.89 / $152.66 / $225.09	Professional		$109.89	$152.66	$225.09
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.11 / $25.77 / $36.22	Professional	26	$18.11	$25.77	$36.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $88.31 / $120.28 / $173.25	Professional	TC	$88.31	$120.28	$173.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.06 / $150.54 / $273.63	Professional		$70.06	$150.54	$273.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.16 / $30.05 / $44.02	Professional	26	$18.16	$30.05	$44.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.90 / $125.81 / $229.61	Professional	TC	$51.90	$125.81	$229.61
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $135.61 / $163.19 / $294.38	Professional		$135.61	$163.19	$294.38
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $23.08 / $27.78 / $50.10	Professional	26	$23.08	$27.78	$50.10
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $112.53 / $135.41 / $244.28	Professional	TC	$112.53	$135.41	$244.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $84.56 / $181.26	Professional		$69.37	$84.56	$181.26
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $14.66 / $18.53 / $32.26	Professional	26	$14.66	$18.53	$32.26
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $53.07 / $101.93 / $149.00	Professional	TC	$53.07	$101.93	$149.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.37 / $132.52 / $256.80	Professional		$101.37	$132.52	$256.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.48 / $27.55 / $44.60	Professional	26	$19.48	$27.55	$44.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.73 / $94.50 / $212.20	Professional	TC	$79.73	$94.50	$212.20