Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.14 / $38.14 / $44.60	Facility	26	$38.14	$38.14	$44.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.48 / $145.22 / $239.80	Professional		$118.48	$145.22	$239.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.53 / $33.97 / $50.03	Professional	26	$30.53	$33.97	$50.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.95 / $107.91 / $189.78	Professional	TC	$87.95	$107.91	$189.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.72 / $211.44 / $264.89	Professional		$179.72	$211.44	$264.89
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.43 / $38.15 / $61.04	Professional	26	$32.43	$38.15	$61.04
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $134.84 / $178.57 / $223.71	Professional	TC	$134.84	$178.57	$223.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.38 / $263.00 / $457.59	Professional		$130.38	$263.00	$457.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.68 / $49.83 / $70.92	Professional	26	$33.68	$49.83	$70.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $88.00 / $215.31 / $386.67	Professional	TC	$88.00	$215.31	$386.67
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $242.79 / $290.89 / $430.93	Professional		$242.79	$290.89	$430.93
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $39.57 / $47.41 / $70.23	Professional	26	$39.57	$47.41	$70.23
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $203.21 / $244.54 / $398.39	Professional	TC	$203.21	$244.54	$398.39
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $44.60 / $44.60 / $44.60	Facility	26	$44.60	$44.60	$44.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $118.48 / $163.97 / $249.03	Professional		$118.48	$163.97	$249.03
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $30.53 / $38.14 / $55.67	Professional	26	$30.53	$38.14	$55.67
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $87.95 / $125.82 / $193.05	Professional	TC	$87.95	$125.82	$193.05
United Facility/Professional Professional Modifier Low / Median / High Price $115.91 / $147.46 / $372.54	Professional		$115.91	$147.46	$372.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.26 / $47.92 / $64.93	Professional	26	$33.26	$47.92	$64.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.55 / $98.19 / $348.62	Professional	TC	$78.55	$98.19	$348.62