Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.53 / $31.53 / $31.62	Facility	26	$31.53	$31.53	$31.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $103.84 / $177.01	Professional		$68.50	$103.84	$177.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.41 / $26.30 / $39.81	Professional	26	$20.41	$26.30	$39.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.47 / $77.54 / $137.19	Professional	TC	$48.47	$77.54	$137.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.07 / $131.62 / $190.12	Professional		$96.07	$131.62	$190.12
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.23 / $36.09 / $49.58	Professional	26	$25.23	$36.09	$49.58
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.84 / $94.56 / $140.53	Professional	TC	$70.84	$94.56	$140.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.74 / $135.44 / $222.43	Professional		$93.74	$135.44	$222.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.12 / $40.64 / $61.44	Professional	26	$26.12	$40.64	$61.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $65.76 / $100.59 / $164.07	Professional	TC	$65.76	$100.59	$164.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $122.42 / $147.32 / $265.75	Professional		$122.42	$147.32	$265.75
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $32.15 / $38.69 / $69.79	Professional	26	$32.15	$38.69	$69.79
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $90.27 / $104.44 / $208.21	Professional	TC	$90.27	$104.44	$208.21
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $31.53 / $31.53 / $31.62	Facility	26	$31.53	$31.53	$31.62
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $92.43 / $110.69 / $210.16	Professional		$92.43	$110.69	$210.16
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $23.17 / $31.53 / $62.93	Professional	26	$23.17	$31.53	$62.93
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $69.26 / $84.97 / $152.62	Professional	TC	$69.26	$84.97	$152.62
United Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $123.79 / $239.99	Professional		$96.72	$123.79	$239.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.51 / $39.92 / $65.66	Professional	26	$28.51	$39.92	$65.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.69 / $85.50 / $169.87	Professional	TC	$62.69	$85.50	$169.87