Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.57 / $31.12 / $35.54	Facility	26	$29.57	$31.12	$35.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.06 / $101.59 / $180.34	Professional		$86.06	$101.59	$180.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.64 / $27.39 / $39.82	Professional	26	$24.64	$27.39	$39.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.40 / $73.22 / $140.53	Professional	TC	$61.40	$73.22	$140.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.31 / $146.63 / $203.47	Professional		$113.31	$146.63	$203.47
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.53 / $35.61 / $48.95	Professional	26	$27.53	$35.61	$48.95
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.77 / $111.00 / $154.51	Professional	TC	$85.77	$111.00	$154.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.92 / $151.55 / $239.69	Professional		$111.92	$151.55	$239.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.92 / $38.32 / $57.61	Professional	26	$29.92	$38.32	$57.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.15 / $114.10 / $182.08	Professional	TC	$79.15	$114.10	$182.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $158.03 / $234.11	Professional		$131.90	$158.03	$234.11
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $31.74 / $38.03 / $56.34	Professional	26	$31.74	$38.03	$56.34
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $100.16 / $120.00 / $196.36	Professional	TC	$100.16	$120.00	$196.36
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $29.57 / $31.12 / $35.54	Facility	26	$29.57	$31.12	$35.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $86.07 / $129.40 / $202.95	Professional		$86.07	$129.40	$202.95
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $24.67 / $31.12 / $48.06	Professional	26	$24.67	$31.12	$48.06
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $61.40 / $98.28 / $154.88	Professional	TC	$61.40	$98.28	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $106.85 / $162.19 / $218.48	Professional		$106.85	$162.19	$218.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.13 / $41.14 / $53.61	Professional	26	$27.13	$41.14	$53.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.72 / $116.14 / $168.88	Professional	TC	$79.72	$116.14	$168.88