Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.56 / $33.56 / $39.28	Facility	26	$33.56	$33.56	$39.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.26 / $115.95 / $178.06	Professional		$98.26	$115.95	$178.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.35 / $28.87 / $44.16	Professional	26	$26.35	$28.87	$44.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.89 / $80.84 / $133.91	Professional	TC	$71.89	$80.84	$133.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.80 / $134.33 / $199.02	Professional		$103.80	$134.33	$199.02
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.01 / $37.54 / $53.40	Professional	26	$29.01	$37.54	$53.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.04 / $96.76 / $145.61	Professional	TC	$75.04	$96.76	$145.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.96 / $148.81 / $233.70	Professional		$109.96	$148.81	$233.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.19 / $41.16 / $62.88	Professional	26	$32.19	$41.16	$62.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.62 / $108.81 / $170.82	Professional	TC	$74.62	$108.81	$170.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $157.24 / $256.18	Professional		$130.66	$157.24	$256.18
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $35.04 / $41.98 / $62.19	Professional	26	$35.04	$41.98	$62.19
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $95.63 / $114.57 / $169.73	Professional	TC	$95.63	$114.57	$169.73
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $39.28 / $39.28 / $39.28	Facility	26	$39.28	$39.28	$39.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $98.56 / $122.51 / $189.03	Professional		$98.56	$122.51	$189.03
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $26.60 / $33.56 / $50.36	Professional	26	$26.60	$33.56	$50.36
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $71.95 / $88.96 / $147.63	Professional	TC	$71.95	$88.96	$147.63
United Facility/Professional Professional Modifier Low / Median / High Price $101.40 / $144.00 / $213.65	Professional		$101.40	$144.00	$213.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.80 / $42.46 / $62.19	Professional	26	$28.80	$42.46	$62.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.17 / $107.82 / $157.12	Professional	TC	$72.17	$107.82	$157.12