Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $45.71 / $45.71	Facility	26	$45.71	$45.71	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $371.54	Professional		$72.44	$91.20	$371.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $41.69 / $120.23	Professional	26	$34.67	$41.69	$120.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $47.86 / $239.88	Professional	TC	$32.36	$47.86	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $102.33 / $147.91	Professional		$60.26	$102.33	$147.91
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $47.86 / $70.79	Professional	26	$33.88	$47.86	$70.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $51.29 / $77.62	Professional	TC	$26.92	$51.29	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $131.83 / $213.80	Professional		$85.11	$131.83	$213.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $52.48 / $93.33	Professional	26	$39.81	$52.48	$93.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $64.57 / $147.91	Professional	TC	$31.62	$64.57	$147.91
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $223.87	Professional		$79.43	$117.49	$223.87
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $56.23 / $104.71	Professional	26	$44.67	$56.23	$104.71
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $63.10 / $125.89	Professional	TC	$51.29	$63.10	$125.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $371.54	Professional		$77.62	$104.71	$371.54
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $51.29 / $120.23	Professional	26	$38.02	$51.29	$120.23
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $57.54 / $158.49	Professional	TC	$36.31	$57.54	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $204.17	Professional		$69.18	$109.65	$204.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $56.23 / $104.71	Professional	26	$38.90	$56.23	$104.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $52.48 / $120.23	Professional	TC	$29.51	$52.48	$120.23