Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.20 / $91.20 / $91.20	Facility	26	$91.20	$91.20	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $338.84 / $537.03	Professional		$204.17	$338.84	$537.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $104.71 / $165.96	Professional	26	$67.61	$104.71	$165.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $223.87 / $354.81	Professional	TC	$134.90	$223.87	$354.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $323.59 / $776.25	Professional		$218.78	$323.59	$776.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $107.15 / $245.47	Professional	26	$72.44	$107.15	$245.47
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $213.80 / $512.86	Professional	TC	$144.54	$213.80	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $338.84 / $776.25	Professional		$263.03	$338.84	$776.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $102.33 / $213.80	Professional	26	$77.62	$102.33	$213.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $223.87 / $467.74	Professional	TC	$173.78	$223.87	$467.74
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $331.13 / $676.08	Professional		$263.03	$331.13	$676.08
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $112.20 / $208.93	Professional	26	$89.13	$112.20	$208.93
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $218.78 / $446.68	Professional	TC	$173.78	$218.78	$446.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $389.05 / $870.96	Professional		$234.42	$389.05	$870.96
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $117.49 / $234.42	Professional	26	$77.62	$117.49	$234.42
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $257.04 / $436.52	Professional	TC	$154.88	$257.04	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $436.52 / $933.25	Professional		$234.42	$436.52	$933.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $114.82 / $208.93	Professional	26	$79.43	$114.82	$208.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $295.12 / $724.44	Professional	TC	$158.49	$295.12	$724.44