Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.34 / $56.34 / $64.84	Facility	26	$56.34	$56.34	$64.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.46 / $138.81 / $230.74	Professional		$117.46	$138.81	$230.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.60 / $52.15 / $78.20	Professional	26	$42.60	$52.15	$78.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.87 / $84.76 / $120.84	Professional	TC	$74.87	$84.76	$120.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.24 / $160.78 / $223.81	Professional		$124.24	$160.78	$223.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.06 / $63.49 / $88.38	Professional	26	$49.06	$63.49	$88.38
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.18 / $97.29 / $135.43	Professional	TC	$75.18	$97.29	$135.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.62 / $179.58 / $263.05	Professional		$126.62	$179.58	$263.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.62 / $68.03 / $103.48	Professional	26	$46.62	$68.03	$103.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $80.00 / $110.47 / $159.57	Professional	TC	$80.00	$110.47	$159.57
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $76.33 / $166.45 / $255.34	Professional		$76.33	$166.45	$255.34
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $57.71 / $66.77 / $102.43	Professional	26	$57.71	$66.77	$102.43
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $86.15 / $103.22 / $152.91	Professional	TC	$86.15	$103.22	$152.91
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $56.34 / $56.92 / $64.84	Facility	26	$56.34	$56.92	$64.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $129.11 / $138.82 / $230.74	Professional		$129.11	$138.82	$230.74
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $45.13 / $56.34 / $85.12	Professional	26	$45.13	$56.34	$85.12
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $80.13 / $84.76 / $133.18	Professional	TC	$80.13	$84.76	$133.18
United Facility/Professional Professional Modifier Low / Median / High Price $115.98 / $169.55 / $239.88	Professional		$115.98	$169.55	$239.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.07 / $71.25 / $93.76	Professional	26	$49.07	$71.25	$93.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.91 / $99.69 / $171.72	Professional	TC	$66.91	$99.69	$171.72