Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.82 / $53.82 / $53.82	Facility	26	$53.82	$53.82	$53.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.59 / $105.29 / $157.44	Professional		$95.59	$105.29	$157.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.96 / $45.55 / $79.50	Professional	26	$40.96	$45.55	$79.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.13 / $61.17 / $77.95	Professional	TC	$46.13	$61.17	$77.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.71 / $125.15 / $179.94	Professional		$96.71	$125.15	$179.94
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.54 / $66.70 / $94.74	Professional	26	$51.54	$66.70	$94.74
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.18 / $58.47 / $85.21	Professional	TC	$45.18	$58.47	$85.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.97 / $161.78 / $215.31	Professional		$113.97	$161.78	$215.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.59 / $85.10 / $114.47	Professional	26	$60.59	$85.10	$114.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.38 / $76.68 / $100.84	Professional	TC	$53.38	$76.68	$100.84
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $86.59 / $136.40 / $255.92	Professional		$86.59	$136.40	$255.92
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $62.24 / $72.01 / $135.11	Professional	26	$62.24	$72.01	$135.11
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $55.65 / $64.39 / $120.80	Professional	TC	$55.65	$64.39	$120.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $95.59 / $109.93 / $164.20	Professional		$95.59	$109.93	$164.20
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $40.96 / $53.82 / $79.52	Professional	26	$40.96	$53.82	$79.52
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $46.13 / $61.17 / $84.67	Professional	TC	$46.13	$61.17	$84.67
United Facility/Professional Professional Modifier Low / Median / High Price $90.56 / $131.57 / $224.09	Professional		$90.56	$131.57	$224.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.26 / $69.72 / $128.86	Professional	26	$50.26	$69.72	$128.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.29 / $62.16 / $110.45	Professional	TC	$40.29	$62.16	$110.45