Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.67 / $132.90 / $132.90	Facility	26	$43.67	$132.90	$132.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.68 / $98.60 / $148.97	Professional		$82.68	$98.60	$148.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.34 / $38.89 / $56.40	Professional	26	$33.34	$38.89	$56.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.35 / $55.88 / $85.82	Professional	TC	$49.35	$55.88	$85.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.24 / $114.20 / $163.41	Professional		$88.24	$114.20	$163.41
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.82 / $50.24 / $68.67	Professional	26	$38.82	$50.24	$68.67
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $49.41 / $63.95 / $94.74	Professional	TC	$49.41	$63.95	$94.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $131.01 / $186.47	Professional		$99.97	$131.01	$186.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.74 / $53.01 / $81.67	Professional	26	$36.74	$53.01	$81.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.18 / $73.94 / $104.79	Professional	TC	$58.18	$73.94	$104.79
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $128.85 / $174.19	Professional		$94.00	$128.85	$174.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $105.94 / $126.93 / $188.03	Professional		$105.94	$126.93	$188.03
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $44.52 / $53.34 / $79.02	Professional	26	$44.52	$53.34	$79.02
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $61.42 / $73.59 / $109.01	Professional	TC	$61.42	$73.59	$109.01
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $41.78 / $43.67 / $132.90	Facility	26	$41.78	$43.67	$132.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $91.23 / $98.61 / $162.57	Professional		$91.23	$98.61	$162.57
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $35.35 / $43.67 / $64.39	Professional	26	$35.35	$43.67	$64.39
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $54.93 / $56.75 / $93.08	Professional	TC	$54.93	$56.75	$93.08
United Facility/Professional Professional Modifier Low / Median / High Price $82.60 / $122.38 / $175.01	Professional		$82.60	$122.38	$175.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.03 / $56.27 / $79.02	Professional	26	$38.03	$56.27	$79.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.57 / $66.11 / $114.39	Professional	TC	$44.57	$66.11	$114.39