Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.47 / $51.26 / $57.62	Facility	26	$47.47	$51.26	$57.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $88.15 / $96.97	Professional		$69.92	$88.15	$96.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.46 / $27.36 / $43.12	Professional	26	$23.46	$27.36	$43.12
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $29.43 / $44.60 / $44.86	Professional	52	$29.43	$44.60	$44.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.12 / $56.97 / $64.37	Professional	TC	$48.12	$56.97	$64.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.41 / $79.47 / $108.72	Professional		$61.41	$79.47	$108.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.95 / $37.46 / $50.86	Professional	26	$28.95	$37.46	$50.86
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.47 / $42.03 / $57.85	Professional	TC	$32.47	$42.03	$57.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.63 / $108.23 / $142.55	Professional		$71.63	$108.23	$142.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.12 / $39.20 / $60.62	Professional	26	$26.12	$39.20	$60.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.29 / $60.69 / $90.92	Professional	TC	$38.29	$60.69	$90.92
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $47.05 / $72.44 / $127.30	Professional		$47.05	$72.44	$127.30
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $33.39 / $38.63 / $65.45	Professional	26	$33.39	$38.63	$65.45
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $38.33 / $45.92 / $68.03	Professional	TC	$38.33	$45.92	$68.03
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $32.75 / $47.47 / $53.71	Facility	26	$32.75	$47.47	$53.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $89.71 / $109.72	Professional		$68.50	$89.71	$109.72
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $23.46 / $32.75 / $46.86	Professional	26	$23.46	$32.75	$46.86
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $29.43 / $44.86 / $48.76	Professional	52	$29.43	$44.86	$48.76
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $40.02 / $56.96 / $68.54	Professional	TC	$40.02	$56.96	$68.54
United Facility/Professional Professional Modifier Low / Median / High Price $74.79 / $118.30 / $155.74	Professional		$74.79	$118.30	$155.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.58 / $38.61 / $53.78	Professional	26	$28.58	$38.61	$53.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.28 / $76.18 / $98.75	Professional	TC	$39.28	$76.18	$98.75