Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.11 / $144.91 / $144.91	Facility	26	$48.11	$144.91	$144.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.43 / $128.58 / $191.09	Professional		$93.43	$128.58	$191.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.61 / $42.69 / $65.28	Professional	26	$36.61	$42.69	$65.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.82 / $70.76 / $118.51	Professional	TC	$56.82	$70.76	$118.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.12 / $150.28 / $209.83	Professional		$116.12	$150.28	$209.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.70 / $55.26 / $76.31	Professional	26	$42.70	$55.26	$76.31
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $73.42 / $95.01 / $133.52	Professional	TC	$73.42	$95.01	$133.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.82 / $158.88 / $245.76	Professional		$101.82	$158.88	$245.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.54 / $58.64 / $89.95	Professional	26	$40.54	$58.64	$89.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.71 / $100.25 / $155.81	Professional	TC	$59.71	$100.25	$155.81
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $175.57 / $220.29	Professional		$136.66	$175.57	$220.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $113.87 / $155.00 / $237.78	Professional		$113.87	$155.00	$237.78
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $49.46 / $59.26 / $87.79	Professional	26	$49.46	$59.26	$87.79
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $84.50 / $101.24 / $165.66	Professional	TC	$84.50	$101.24	$165.66
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $46.46 / $48.95 / $179.71	Facility	26	$46.46	$48.95	$179.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $103.15 / $128.58 / $194.44	Professional		$103.15	$128.58	$194.44
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $38.81 / $48.11 / $71.55	Professional	26	$38.81	$48.11	$71.55
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $64.31 / $80.45 / $128.80	Professional	TC	$64.31	$80.45	$128.80
United Facility/Professional Professional Modifier Low / Median / High Price $107.17 / $158.31 / $225.36	Professional		$107.17	$158.31	$225.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.90 / $62.19 / $81.30	Professional	26	$41.90	$62.19	$81.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.27 / $96.12 / $144.06	Professional	TC	$65.27	$96.12	$144.06