Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.64 / $35.99 / $36.54	Facility	26	$34.64	$35.99	$36.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.06 / $125.23 / $189.24	Professional		$107.06	$125.23	$189.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.82 / $32.50 / $52.64	Professional	26	$27.82	$32.50	$52.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.53 / $94.60 / $120.58	Professional	TC	$77.53	$94.60	$120.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.40 / $119.30 / $190.75	Professional		$101.40	$119.30	$190.75
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.06 / $36.54 / $56.59	Professional	26	$31.06	$36.54	$56.59
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.33 / $82.75 / $122.47	Professional	TC	$70.33	$82.75	$122.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.90 / $145.60 / $226.96	Professional		$94.90	$145.60	$226.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.66 / $44.06 / $67.39	Professional	26	$30.66	$44.06	$67.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.11 / $101.97 / $159.57	Professional	TC	$66.11	$101.97	$159.57
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $123.25 / $147.66 / $218.76	Professional		$123.25	$147.66	$218.76
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $37.10 / $44.45 / $65.84	Professional	26	$37.10	$44.45	$65.84
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $86.15 / $103.22 / $152.91	Professional	TC	$86.15	$103.22	$152.91
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $34.64 / $35.99 / $41.63	Facility	26	$34.64	$35.99	$41.63
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $112.34 / $126.03 / $189.24	Professional		$112.34	$126.03	$189.24
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $27.82 / $35.99 / $56.29	Professional	26	$27.82	$35.99	$56.29
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $83.09 / $94.11 / $132.97	Professional	TC	$83.09	$94.11	$132.97
United Facility/Professional Professional Modifier Low / Median / High Price $84.09 / $98.93 / $204.67	Professional		$84.09	$98.93	$204.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.37 / $45.52 / $80.01	Professional	26	$31.37	$45.52	$80.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.87 / $59.03 / $144.76	Professional	TC	$45.87	$59.03	$144.76