Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $85.11 / $85.11	Facility	26	$85.11	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $371.54	Professional		$128.82	$169.82	$371.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $83.18 / $169.82	Professional	26	$52.48	$83.18	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $87.10 / $281.84	Professional	TC	$64.57	$87.10	$281.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $177.83 / $316.23	Professional		$89.13	$177.83	$316.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $85.11 / $147.91	Professional	26	$41.69	$85.11	$147.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $81.28 / $169.82	Professional	TC	$46.77	$81.28	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $426.58	Professional		$165.96	$251.19	$426.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $89.13 / $154.88	Professional	26	$60.26	$89.13	$154.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $138.04 / $316.23	Professional	TC	$81.28	$138.04	$316.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $354.81	Professional		$134.90	$186.21	$354.81
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $109.65 / $190.55	Professional	26	$81.28	$109.65	$190.55
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $87.10 / $158.49	Professional	TC	$67.61	$87.10	$158.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $194.98 / $416.87	Professional		$141.25	$194.98	$416.87
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $93.33 / $177.83	Professional	26	$57.54	$93.33	$177.83
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $100.00 / $245.47	Professional	TC	$70.79	$100.00	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $354.81	Professional		$144.54	$186.21	$354.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $89.13 / $190.55	Professional	26	$64.57	$89.13	$190.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $95.50 / $199.53	Professional	TC	$69.18	$95.50	$199.53