Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.01 / $77.64 / $113.71	Professional		$70.01	$77.64	$113.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.28 / $28.10 / $47.91	Professional	26	$26.28	$28.10	$47.91
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $32.45 / $37.90 / $37.90	Professional	52	$32.45	$37.90	$37.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.36 / $48.98 / $65.80	Professional	TC	$40.36	$48.98	$65.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $90.44 / $129.72	Professional		$72.81	$90.44	$129.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.05 / $40.19 / $56.59	Professional	26	$31.05	$40.19	$56.59
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $109.24 / $135.66 / $194.58	Professional	50	$109.24	$135.66	$194.58
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.52 / $48.56 / $73.12	Professional	TC	$37.52	$48.56	$73.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.09 / $104.75 / $148.16	Professional		$79.09	$104.75	$148.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.30 / $46.02 / $65.89	Professional	26	$27.30	$46.02	$65.89
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $97.82 / $97.82 / $97.82	Professional	50	$97.82	$97.82	$97.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.20 / $59.92 / $82.28	Professional	TC	$36.20	$59.92	$82.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $54.37 / $97.29 / $149.25	Professional		$54.37	$97.29	$149.25
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $37.10 / $45.26 / $72.73	Professional	26	$37.10	$45.26	$72.73
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $46.99 / $57.68 / $92.12	Professional	TC	$46.99	$57.68	$92.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $70.01 / $77.64 / $113.71	Professional		$70.01	$77.64	$113.71
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $26.28 / $30.91 / $47.91	Professional	26	$26.28	$30.91	$47.91
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $32.45 / $37.90 / $56.98	Professional	52	$32.45	$37.90	$56.98
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $40.36 / $46.41 / $65.80	Professional	TC	$40.36	$46.41	$65.80
United Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $111.01 / $148.66	Professional		$57.67	$111.01	$148.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.56 / $44.09 / $60.49	Professional	26	$30.56	$44.09	$60.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.76 / $70.88 / $85.54	Professional	TC	$32.76	$70.88	$85.54