Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.62 / $27.62 / $27.62	Facility	26	$27.62	$27.62	$27.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.90 / $263.33 / $394.16	Professional		$221.90	$263.33	$394.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.60 / $23.45 / $35.78	Professional	26	$20.60	$23.45	$35.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $201.28 / $240.72 / $358.87	Professional	TC	$201.28	$240.72	$358.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.26 / $280.31 / $415.22	Professional		$238.26	$280.31	$415.22
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.36 / $29.79 / $43.24	Professional	26	$24.36	$29.79	$43.24
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $213.90 / $251.65 / $371.97	Professional	TC	$213.90	$251.65	$371.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.23 / $390.23 / $505.05	Professional		$281.23	$390.23	$505.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.60 / $38.10 / $51.37	Professional	26	$28.60	$38.10	$51.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $252.62 / $352.12 / $453.68	Professional	TC	$252.62	$352.12	$453.68
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $264.22 / $305.70 / $573.57	Professional		$264.22	$305.70	$573.57
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $28.44 / $32.90 / $61.74	Professional	26	$28.44	$32.90	$61.74
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $235.78 / $272.80 / $511.83	Professional	TC	$235.78	$272.80	$511.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $221.90 / $276.82 / $407.43	Professional		$221.90	$276.82	$407.43
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $20.60 / $27.62 / $43.21	Professional	26	$20.60	$27.62	$43.21
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $201.28 / $249.19 / $398.84	Professional	TC	$201.28	$249.19	$398.84
United Facility/Professional Professional Modifier Low / Median / High Price $226.29 / $336.79 / $446.90	Professional		$226.29	$336.79	$446.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.92 / $36.27 / $45.84	Professional	26	$28.92	$36.27	$45.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $202.19 / $302.74 / $401.06	Professional	TC	$202.19	$302.74	$401.06