Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.79 / $39.79 / $39.79	Facility	26	$39.79	$39.79	$39.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.22 / $206.66 / $459.38	Professional		$171.22	$206.66	$459.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.35 / $34.40 / $59.66	Professional	26	$30.35	$34.40	$59.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $140.87 / $172.88 / $399.82	Professional	TC	$140.87	$172.88	$399.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.97 / $363.61 / $513.76	Professional		$280.97	$363.61	$513.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.17 / $50.69 / $71.20	Professional	26	$39.17	$50.69	$71.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $241.79 / $312.89 / $442.55	Professional	TC	$241.79	$312.89	$442.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.23 / $368.47 / $627.61	Professional		$332.23	$368.47	$627.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.93 / $64.36 / $86.76	Professional	26	$45.93	$64.36	$86.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $270.80 / $317.73 / $540.85	Professional	TC	$270.80	$317.73	$540.85
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $331.41 / $383.44 / $719.42	Professional		$331.41	$383.44	$719.42
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $46.58 / $53.89 / $101.12	Professional	26	$46.58	$53.89	$101.12
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $284.83 / $329.55 / $618.30	Professional	TC	$284.83	$329.55	$618.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $171.22 / $294.66 / $494.38	Professional		$171.22	$294.66	$494.38
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $30.35 / $39.79 / $68.01	Professional	26	$30.35	$39.79	$68.01
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $140.87 / $254.86 / $434.71	Professional	TC	$140.87	$254.86	$434.71
United Facility/Professional Professional Modifier Low / Median / High Price $232.59 / $369.85 / $588.22	Professional		$232.59	$369.85	$588.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.60 / $57.26 / $95.29	Professional	26	$40.60	$57.26	$95.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.43 / $319.45 / $571.38	Professional	TC	$190.43	$319.45	$571.38