Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.42 / $45.42 / $45.42	Facility	26	$45.42	$45.42	$45.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $87.54 / $130.59	Professional		$79.00	$87.54	$130.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.07 / $38.34 / $58.07	Professional	26	$34.07	$38.34	$58.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.94 / $51.63 / $72.51	Professional	TC	$32.94	$51.63	$72.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.98 / $106.75 / $148.78	Professional		$76.98	$106.75	$148.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.22 / $53.19 / $71.20	Professional	26	$36.22	$53.19	$71.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.64 / $47.61 / $77.56	Professional	TC	$39.64	$47.61	$77.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.79 / $130.90 / $208.86	Professional		$88.79	$130.90	$208.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.70 / $59.55 / $87.57	Professional	26	$39.70	$59.55	$87.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.02 / $70.00 / $130.11	Professional	TC	$39.02	$70.00	$130.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $98.10 / $115.09 / $212.96	Professional		$98.10	$115.09	$212.96
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $46.17 / $55.56 / $100.23	Professional	26	$46.17	$55.56	$100.23
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $51.94 / $63.37 / $119.80	Professional	TC	$51.94	$63.37	$119.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $82.04 / $96.30 / $171.00	Professional		$82.04	$96.30	$171.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $35.90 / $45.42 / $70.00	Professional	26	$35.90	$45.42	$70.00
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $36.64 / $56.22 / $82.80	Professional	TC	$36.64	$56.22	$82.80
United Facility/Professional Professional Modifier Low / Median / High Price $73.26 / $108.46 / $180.80	Professional		$73.26	$108.46	$180.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.22 / $56.51 / $93.71	Professional	26	$39.22	$56.51	$93.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.47 / $44.43 / $83.35	Professional	TC	$29.47	$44.43	$83.35