Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $37.15 / $41.69	Facility	26	$36.31	$37.15	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $125.89 / $229.09	Professional		$75.86	$125.89	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $41.69 / $81.28	Professional	26	$25.70	$41.69	$81.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $95.50 / $181.97	Professional	TC	$56.23	$95.50	$181.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $190.55	Professional		$93.33	$120.23	$190.55
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $36.31 / $56.23	Professional	26	$28.18	$36.31	$56.23
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $83.18 / $123.03	Professional	TC	$64.57	$83.18	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $234.42	Professional		$93.33	$144.54	$234.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $43.65 / $67.61	Professional	26	$29.51	$43.65	$67.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $97.72 / $162.18	Professional	TC	$56.23	$97.72	$162.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $281.84	Professional		$107.15	$154.88	$281.84
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $46.77 / $85.11	Professional	26	$36.31	$46.77	$85.11
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $112.20 / $194.98	Professional	TC	$81.28	$112.20	$194.98
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $37.15 / $41.69	Facility	26	$36.31	$37.15	$41.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $245.47	Professional		$89.13	$134.90	$245.47
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $42.66 / $79.43	Professional	26	$28.84	$42.66	$79.43
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $95.50 / $181.97	Professional	TC	$58.88	$95.50	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $275.42	Professional		$89.13	$123.03	$275.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $45.71 / $83.18	Professional	26	$30.20	$45.71	$83.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $85.11 / $186.21	Professional	TC	$47.86	$85.11	$186.21