Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $46.77 / $186.21	Facility	26	$43.65	$46.77	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $302.00	Professional		$102.33	$141.25	$302.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $44.67 / $104.71	Professional	26	$32.36	$44.67	$104.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $97.72 / $229.09	Professional	TC	$74.13	$97.72	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $169.82 / $239.88	Professional		$102.33	$169.82	$239.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $50.12 / $72.44	Professional	26	$29.51	$50.12	$72.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $120.23 / $165.96	Professional	TC	$72.44	$120.23	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $288.40	Professional		$134.90	$169.82	$288.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $51.29 / $95.50	Professional	26	$42.66	$51.29	$95.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $125.89 / $218.78	Professional	TC	$93.33	$125.89	$218.78
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $125.89 / $173.78	Professional		$109.65	$125.89	$173.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $181.97 / $354.81	Professional		$107.15	$181.97	$354.81
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $57.54 / $107.15	Professional	26	$45.71	$57.54	$107.15
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $134.90 / $257.04	Professional	TC	$104.71	$134.90	$257.04
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $46.77 / $134.90	Facility	26	$43.65	$46.77	$134.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $295.12	Professional		$107.15	$151.36	$295.12
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $47.86 / $104.71	Professional	26	$36.31	$47.86	$104.71
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $112.20 / $229.09	Professional	TC	$85.11	$112.20	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $346.74	Professional		$125.89	$181.97	$346.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $56.23 / $104.71	Professional	26	$40.74	$56.23	$104.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $125.89 / $245.47	Professional	TC	$85.11	$125.89	$245.47