Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $51.29 / $177.83	Facility	26	$46.77	$51.29	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $154.88 / $316.23	Professional		$91.20	$154.88	$316.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $61.66 / $131.83	Professional	26	$34.67	$61.66	$131.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $77.62 / $181.97	Professional	TC	$56.23	$77.62	$181.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $154.88 / $208.93	Professional		$102.33	$154.88	$208.93
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $57.54 / $75.86	Professional	26	$37.15	$57.54	$75.86
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $97.72 / $134.90	Professional	TC	$67.61	$97.72	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $245.47	Professional		$100.00	$151.36	$245.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $58.88 / $91.20	Professional	26	$39.81	$58.88	$91.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $100.00 / $158.49	Professional	TC	$56.23	$100.00	$158.49
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $218.78	Professional		$125.89	$162.18	$218.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $316.23	Professional		$131.83	$177.83	$316.23
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $61.66 / $117.49	Professional	26	$48.98	$61.66	$117.49
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $107.15 / $199.53	Professional	TC	$85.11	$107.15	$199.53
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $51.29 / $177.83	Facility	26	$46.77	$51.29	$177.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $288.40	Professional		$100.00	$147.91	$288.40
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $57.54 / $128.82	Professional	26	$38.90	$57.54	$128.82
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $87.10 / $177.83	Professional	TC	$63.10	$87.10	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $158.49 / $316.23	Professional		$97.72	$158.49	$316.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $61.66 / $109.65	Professional	26	$38.90	$61.66	$109.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $100.00 / $186.21	Professional	TC	$61.66	$100.00	$186.21