Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.01 / $21.01 / $21.01	Facility	26	$21.01	$21.01	$21.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.93 / $109.18 / $164.56	Professional		$103.93	$109.18	$164.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $18.88 / $29.18	Professional	26	$16.60	$18.88	$29.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.32 / $88.32 / $137.05	Professional	TC	$87.32	$88.32	$137.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.13 / $119.87 / $188.21	Professional		$94.13	$119.87	$188.21
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.17 / $23.33 / $33.69	Professional	26	$18.17	$23.33	$33.69
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $76.66 / $98.41 / $138.60	Professional	TC	$76.66	$98.41	$138.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.28 / $135.31 / $229.90	Professional		$94.28	$135.31	$229.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.68 / $27.86 / $41.66	Professional	26	$19.68	$27.86	$41.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.30 / $112.02 / $190.33	Professional	TC	$73.30	$112.02	$190.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $119.95 / $138.78 / $260.39	Professional		$119.95	$138.78	$260.39
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $22.26 / $25.75 / $48.32	Professional	26	$22.26	$25.75	$48.32
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $97.69 / $113.03 / $212.07	Professional	TC	$97.69	$113.03	$212.07
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $103.93 / $116.62 / $175.72	Professional		$103.93	$116.62	$175.72
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $17.63 / $21.01 / $33.28	Professional	26	$17.63	$21.01	$33.28
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $87.32 / $97.74 / $148.97	Professional	TC	$87.32	$97.74	$148.97
United Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $105.44 / $201.90	Professional		$85.67	$105.44	$201.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.98 / $29.71 / $39.51	Professional	26	$18.98	$29.71	$39.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.53 / $73.00 / $166.75	Professional	TC	$61.53	$73.00	$166.75