Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.48 / $58.88 / $61.66	Facility	26	$35.48	$58.88	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $89.13 / $204.17	Professional		$54.95	$89.13	$204.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $42.66 / $95.50	Professional	26	$23.44	$42.66	$95.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $38.90 / $97.72	Professional	TC	$10.96	$38.90	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $151.36	Professional		$51.29	$69.18	$151.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $45.71 / $79.43	Professional	26	$32.36	$45.71	$79.43
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $75.86 / $100.00 / $204.17	Professional	50	$75.86	$100.00	$204.17
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $16.22 / $52.48	Professional	TC	$10.96	$16.22	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $123.03 / $177.83	Professional		$70.79	$123.03	$177.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $46.77 / $81.28	Professional	26	$28.18	$46.77	$81.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $63.10 / $128.82	Professional	TC	$16.22	$63.10	$128.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $154.88	Professional		$64.57	$87.10	$154.88
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $69.18 / $123.03	Professional	26	$50.12	$69.18	$123.03
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $17.78 / $34.67	Professional	TC	$13.18	$17.78	$34.67
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $35.48 / $58.88 / $61.66	Facility	26	$35.48	$58.88	$61.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $91.20 / $204.17	Professional		$56.23	$91.20	$204.17
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $46.77 / $93.33	Professional	26	$25.70	$46.77	$93.33
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $41.69 / $107.15	Professional	TC	$12.88	$41.69	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $109.65 / $194.98	Professional		$64.57	$109.65	$194.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $51.29 / $93.33	Professional	26	$28.18	$51.29	$93.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $46.77 / $120.23	Professional	TC	$14.45	$46.77	$120.23