Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $88.94 / $124.27	Professional		$76.20	$88.94	$124.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.14 / $33.40 / $50.93	Professional	26	$27.14	$33.40	$50.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $55.88 / $73.33	Professional	TC	$47.86	$55.88	$73.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $102.32 / $143.07	Professional		$79.06	$102.32	$143.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.18 / $42.94 / $60.40	Professional	26	$33.18	$42.94	$60.40
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $118.60 / $153.47 / $214.61	Professional	50	$118.60	$153.47	$214.61
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.89 / $59.38 / $82.65	Professional	TC	$45.89	$59.38	$82.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.45 / $126.29 / $167.70	Professional		$89.45	$126.29	$167.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.49 / $49.47 / $70.41	Professional	26	$32.49	$49.47	$70.41
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $145.44 / $145.44 / $145.44	Professional	50	$145.44	$145.44	$145.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.49 / $75.51 / $111.00	Professional	TC	$42.49	$75.51	$111.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $91.92 / $110.13 / $163.15	Professional		$91.92	$110.13	$163.15
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $39.57 / $47.62 / $77.58	Professional	26	$39.57	$47.62	$77.58
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $52.35 / $62.72 / $92.92	Professional	TC	$52.35	$62.72	$92.92
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $79.14 / $91.01 / $124.65	Professional		$79.14	$91.01	$124.65
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $29.80 / $34.26 / $51.26	Professional	26	$29.80	$34.26	$51.26
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $48.89 / $56.75 / $79.63	Professional	TC	$48.89	$56.75	$79.63
United Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $130.72 / $169.05	Professional		$94.25	$130.72	$169.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.54 / $50.79 / $65.70	Professional	26	$35.54	$50.79	$65.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.70 / $79.92 / $103.36	Professional	TC	$58.70	$79.92	$103.36