Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.54 / $27.54 / $27.54	Facility	26	$27.54	$27.54	$27.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $229.09 / $371.54	Professional		$186.21	$229.09	$371.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $22.91 / $51.29	Professional	26	$17.78	$22.91	$51.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $213.80 / $416.87	Professional	TC	$165.96	$213.80	$416.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $398.11	Professional		$208.93	$302.00	$398.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $31.62 / $40.74	Professional	26	$21.88	$31.62	$40.74
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $269.15 / $363.08	Professional	TC	$186.21	$269.15	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $398.11 / $562.34	Professional		$275.42	$398.11	$562.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $38.90 / $57.54	Professional	26	$28.18	$38.90	$57.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $363.08 / $512.86	Professional	TC	$245.47	$363.08	$512.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $588.84	Professional		$263.03	$309.03	$588.84
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $33.11 / $64.57	Professional	26	$28.18	$33.11	$64.57
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $275.42 / $537.03	Professional	TC	$234.42	$275.42	$537.03
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $275.42 / $512.86	Professional		$229.09	$275.42	$512.86
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $30.90 / $60.26	Professional	26	$20.89	$30.90	$60.26
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $251.19 / $478.63	Professional	TC	$204.17	$251.19	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $338.84 / $588.84	Professional		$263.03	$338.84	$588.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $33.88 / $50.12	Professional	26	$26.92	$33.88	$50.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $302.00 / $426.58	Professional	TC	$234.42	$302.00	$426.58