Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.25 / $48.25 / $55.03	Facility	26	$48.25	$48.25	$55.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.62 / $277.43 / $483.20	Professional		$229.62	$277.43	$483.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.75 / $41.70 / $61.61	Professional	26	$36.75	$41.70	$61.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $192.87 / $236.59 / $422.53	Professional	TC	$192.87	$236.59	$422.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.14 / $348.42 / $513.76	Professional		$296.14	$348.42	$513.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.65 / $51.38 / $75.03	Professional	26	$41.65	$51.38	$75.03
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $254.49 / $299.41 / $438.73	Professional	TC	$254.49	$299.41	$438.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.06 / $481.79 / $627.66	Professional		$341.06	$481.79	$627.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.83 / $65.61 / $87.70	Professional	26	$48.83	$65.61	$87.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $292.05 / $401.87 / $539.97	Professional	TC	$292.05	$401.87	$539.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $326.45 / $377.71 / $708.68	Professional		$326.45	$377.71	$708.68
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $49.05 / $56.75 / $106.48	Professional	26	$49.05	$56.75	$106.48
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $277.41 / $320.95 / $602.20	Professional	TC	$277.41	$320.95	$602.20
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $55.03 / $55.03 / $55.03	Facility	26	$55.03	$55.03	$55.03
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $257.33 / $347.67 / $503.09	Professional		$257.33	$347.67	$503.09
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $38.96 / $48.25 / $74.41	Professional	26	$38.96	$48.25	$74.41
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $215.90 / $299.42 / $428.68	Professional	TC	$215.90	$299.42	$428.68
United Facility/Professional Professional Modifier Low / Median / High Price $242.24 / $352.81 / $579.42	Professional		$242.24	$352.81	$579.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.05 / $60.61 / $87.06	Professional	26	$49.05	$60.61	$87.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $242.91 / $292.20 / $473.22	Professional	TC	$242.91	$292.20	$473.22