Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.43 / $84.43 / $84.43	Facility	26	$84.43	$84.43	$84.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.15 / $163.03 / $205.72	Professional		$147.15	$163.03	$205.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.60 / $58.08 / $104.42	Professional	26	$49.60	$58.08	$104.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $97.59 / $110.48	Professional	TC	$74.13	$97.59	$110.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.41 / $179.51 / $265.14	Professional		$146.41	$179.51	$265.14
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.00 / $93.18 / $130.35	Professional	26	$72.00	$93.18	$130.35
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.40 / $87.54 / $134.80	Professional	TC	$74.40	$87.54	$134.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.61 / $244.36 / $369.91	Professional		$174.61	$244.36	$369.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.54 / $90.73 / $153.33	Professional	26	$63.54	$90.73	$153.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.76 / $116.98 / $271.91	Professional	TC	$89.76	$116.98	$271.91
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $155.81 / $180.27 / $338.23	Professional		$155.81	$180.27	$338.23
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $84.91 / $98.24 / $184.32	Professional	26	$84.91	$98.24	$184.32
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $70.90 / $82.03 / $153.91	Professional	TC	$70.90	$82.03	$153.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $147.15 / $172.56 / $219.81	Professional		$147.15	$172.56	$219.81
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $52.20 / $84.43 / $118.67	Professional	26	$52.20	$84.43	$118.67
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $95.54 / $119.97	Professional	TC	$74.13	$95.54	$119.97
United Facility/Professional Professional Modifier Low / Median / High Price $143.88 / $183.25 / $356.06	Professional		$143.88	$183.25	$356.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.03 / $84.91 / $174.22	Professional	26	$73.03	$84.91	$174.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.84 / $95.14 / $181.84	Professional	TC	$70.84	$95.14	$181.84