Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.51 / $30.90 / $37.15	Facility	26	$29.51	$30.90	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $245.47	Professional		$77.62	$112.20	$245.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $30.90 / $63.10	Professional	26	$20.89	$30.90	$63.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $85.11 / $181.97	Professional	TC	$56.23	$85.11	$181.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $204.17	Professional		$102.33	$151.36	$204.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $36.31 / $53.70	Professional	26	$24.55	$36.31	$53.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $114.82 / $154.88	Professional	TC	$75.86	$114.82	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $245.47	Professional		$100.00	$141.25	$245.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $37.15 / $58.88	Professional	26	$26.30	$37.15	$58.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $107.15 / $186.21	Professional	TC	$74.13	$107.15	$186.21
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $302.00	Professional		$128.82	$169.82	$302.00
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $41.69 / $74.13	Professional	26	$30.90	$41.69	$74.13
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $128.82 / $229.09	Professional	TC	$97.72	$128.82	$229.09
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $29.51 / $30.90 / $37.15	Facility	26	$29.51	$30.90	$37.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $245.47	Professional		$91.20	$131.83	$245.47
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $34.67 / $63.10	Professional	26	$24.55	$34.67	$63.10
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $102.33 / $181.97	Professional	TC	$66.07	$102.33	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $158.49 / $302.00	Professional		$97.72	$158.49	$302.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $40.74 / $70.79	Professional	26	$26.92	$40.74	$70.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $114.82 / $223.87	Professional	TC	$74.13	$114.82	$223.87