Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.82 / $38.82 / $131.60	Facility	26	$38.82	$38.82	$131.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.44 / $125.82 / $185.67	Professional		$111.44	$125.82	$185.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.75 / $35.49 / $56.04	Professional	26	$29.75	$35.49	$56.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.28 / $93.44 / $125.21	Professional	TC	$83.28	$93.44	$125.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.51 / $124.13 / $200.93	Professional		$105.51	$124.13	$200.93
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.46 / $39.36 / $61.04	Professional	26	$33.46	$39.36	$61.04
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.04 / $84.76 / $139.88	Professional	TC	$72.04	$84.76	$139.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.04 / $152.97 / $238.22	Professional		$109.04	$152.97	$238.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.96 / $47.49 / $72.65	Professional	26	$32.96	$47.49	$72.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $76.08 / $105.89 / $165.57	Professional	TC	$76.08	$105.89	$165.57
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $91.41 / $137.12 / $149.00	Professional		$91.41	$137.12	$149.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $129.43 / $149.75 / $229.73	Professional		$129.43	$149.75	$229.73
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $39.97 / $46.26 / $70.95	Professional	26	$39.97	$46.26	$70.95
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $89.45 / $107.17 / $158.76	Professional	TC	$89.45	$107.17	$158.76
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $37.36 / $39.42 / $140.91	Facility	26	$37.36	$39.42	$140.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $113.03 / $127.24 / $198.78	Professional		$113.03	$127.24	$198.78
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $31.55 / $38.82 / $59.50	Professional	26	$31.55	$38.82	$59.50
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $83.28 / $94.28 / $138.06	Professional	TC	$83.28	$94.28	$138.06
United Facility/Professional Professional Modifier Low / Median / High Price $103.36 / $150.44 / $229.73	Professional		$103.36	$150.44	$229.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.83 / $49.07 / $64.69	Professional	26	$33.83	$49.07	$64.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.53 / $101.37 / $150.94	Professional	TC	$69.53	$101.37	$150.94