Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $154.88	Professional		$57.54	$75.86	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $30.90 / $67.61	Professional	26	$23.99	$30.90	$67.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $42.66 / $89.13	Professional	TC	$30.90	$42.66	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $134.90	Professional		$69.18	$97.72	$134.90
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $42.66 / $56.23	Professional	26	$30.20	$42.66	$56.23
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $104.71 / $144.54 / $204.17	Professional	50	$104.71	$144.54	$204.17
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $53.70 / $85.11	Professional	TC	$39.81	$53.70	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $162.18	Professional		$74.13	$104.71	$162.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $43.65 / $67.61	Professional	26	$26.92	$43.65	$67.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $61.66 / $93.33	Professional	TC	$36.31	$61.66	$93.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $199.53	Professional		$72.44	$107.15	$199.53
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $48.98 / $85.11	Professional	26	$36.31	$48.98	$85.11
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $63.10 / $112.20	Professional	TC	$47.86	$63.10	$112.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $173.78	Professional		$63.10	$81.28	$173.78
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $35.48 / $74.13	Professional	26	$26.30	$35.48	$74.13
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $50.12 / $102.33	Professional	TC	$34.67	$50.12	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $112.20 / $194.98	Professional		$63.10	$112.20	$194.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $43.65 / $81.28	Professional	26	$27.54	$43.65	$81.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $66.07 / $93.33	Professional	TC	$34.67	$66.07	$93.33