Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $31.62 / $32.36	Facility	26	$31.62	$31.62	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $104.71 / $229.09	Professional		$67.61	$104.71	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $30.90 / $81.28	Professional	26	$21.88	$30.90	$81.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $77.62 / $165.96	Professional	TC	$47.86	$77.62	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $186.21	Professional		$85.11	$128.82	$186.21
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $33.88 / $50.12	Professional	26	$21.88	$33.88	$50.12
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $91.20 / $131.83	Professional	TC	$63.10	$91.20	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $223.87	Professional		$91.20	$128.82	$223.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $36.31 / $66.07	Professional	26	$26.30	$36.31	$66.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $93.33 / $165.96	Professional	TC	$64.57	$93.33	$165.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $281.84	Professional		$117.49	$147.91	$281.84
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $38.90 / $74.13	Professional	26	$30.90	$38.90	$74.13
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $109.65 / $204.17	Professional	TC	$87.10	$109.65	$204.17
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $31.62 / $32.36	Facility	26	$31.62	$31.62	$32.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $251.19	Professional		$93.33	$128.82	$251.19
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $38.02 / $81.28	Professional	26	$23.99	$38.02	$81.28
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $93.33 / $199.53	Professional	TC	$67.61	$93.33	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $245.47	Professional		$89.13	$128.82	$245.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $38.02 / $70.79	Professional	26	$27.54	$38.02	$70.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $89.13 / $162.18	Professional	TC	$63.10	$89.13	$162.18