Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.84 / $66.84 / $67.59	Facility	26	$66.84	$66.84	$67.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.22 / $192.97 / $310.58	Professional		$162.22	$192.97	$310.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.54 / $58.45 / $86.02	Professional	26	$51.54	$58.45	$86.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $110.68 / $135.69 / $225.86	Professional	TC	$110.68	$135.69	$225.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.84 / $227.56 / $333.82	Professional		$182.84	$227.56	$333.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.59 / $71.68 / $104.90	Professional	26	$58.59	$71.68	$104.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $124.24 / $155.88 / $228.91	Professional	TC	$124.24	$155.88	$228.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.14 / $287.16 / $386.36	Professional		$215.14	$287.16	$386.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.63 / $91.64 / $123.53	Professional	26	$68.63	$91.64	$123.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $146.35 / $195.52 / $262.83	Professional	TC	$146.35	$195.52	$262.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $217.23 / $251.34 / $471.56	Professional		$217.23	$251.34	$471.56
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $68.43 / $79.17 / $148.55	Professional	26	$68.43	$79.17	$148.55
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $148.80 / $172.16 / $323.02	Professional	TC	$148.80	$172.16	$323.02
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $66.84 / $66.84 / $67.59	Facility	26	$66.84	$66.84	$67.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $179.96 / $203.46 / $333.46	Professional		$179.96	$203.46	$333.46
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $54.60 / $66.84 / $103.91	Professional	26	$54.60	$66.84	$103.91
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $123.95 / $136.61 / $229.53	Professional	TC	$123.95	$136.61	$229.53
United Facility/Professional Professional Modifier Low / Median / High Price $219.13 / $261.95 / $357.39	Professional		$219.13	$261.95	$357.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.33 / $83.63 / $111.20	Professional	26	$58.33	$83.63	$111.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $110.88 / $166.05 / $284.38	Professional	TC	$110.88	$166.05	$284.38