Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.46 / $132.90 / $132.90	Facility	26	$42.46	$132.90	$132.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.95 / $108.22 / $169.76	Professional		$88.95	$108.22	$169.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.13 / $37.45 / $57.63	Professional	26	$32.13	$37.45	$57.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.82 / $66.28 / $97.66	Professional	TC	$56.82	$66.28	$97.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.48 / $127.44 / $176.76	Professional		$98.48	$127.44	$176.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.77 / $48.88 / $67.39	Professional	26	$37.77	$48.88	$67.39
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.70 / $78.56 / $109.35	Professional	TC	$60.70	$78.56	$109.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.14 / $134.83 / $208.22	Professional		$110.14	$134.83	$208.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.26 / $51.51 / $79.42	Professional	26	$35.26	$51.51	$79.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.16 / $86.80 / $128.80	Professional	TC	$67.16	$86.80	$128.80
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $148.55 / $186.39	Professional		$106.74	$148.55	$186.39
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $113.36 / $135.82 / $201.20	Professional		$113.36	$135.82	$201.20
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $43.69 / $52.34 / $77.55	Professional	26	$43.69	$52.34	$77.55
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $69.66 / $83.46 / $123.64	Professional	TC	$69.66	$83.46	$123.64
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $40.86 / $43.10 / $161.12	Facility	26	$40.86	$43.10	$161.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $98.39 / $108.73 / $170.51	Professional		$98.39	$108.73	$170.51
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $34.04 / $42.46 / $63.00	Professional	26	$34.04	$42.46	$63.00
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $64.31 / $66.28 / $107.65	Professional	TC	$64.31	$66.28	$107.65
United Facility/Professional Professional Modifier Low / Median / High Price $90.75 / $133.88 / $189.48	Professional		$90.75	$133.88	$189.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.97 / $54.42 / $71.51	Professional	26	$36.97	$54.42	$71.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.77 / $79.45 / $117.97	Professional	TC	$53.77	$79.45	$117.97