Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.72 / $46.72 / $46.72	Professional		$46.72	$46.72	$46.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.08 / $32.08 / $34.15	Professional	26	$32.08	$32.08	$34.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.65 / $14.65 / $18.98	Professional	TC	$14.65	$14.65	$18.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $89.39 / $170.82	Professional		$22.70	$89.39	$170.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.95 / $59.41 / $69.48	Professional	26	$14.95	$59.41	$69.48
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $7.75 / $29.98 / $36.88	Professional	TC	$7.75	$29.98	$36.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.23 / $54.27 / $122.45	Professional		$45.23	$54.27	$122.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.34 / $39.45 / $85.22	Professional	26	$23.34	$39.45	$85.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.43 / $20.48 / $53.27	Professional	TC	$11.43	$20.48	$53.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $79.65 / $122.18	Professional		$55.15	$79.65	$122.18
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $44.93 / $51.98 / $97.53	Professional	26	$44.93	$51.98	$97.53
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $23.91 / $28.69 / $51.90	Professional	TC	$23.91	$28.69	$51.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $46.72 / $51.29 / $140.46	Professional		$46.72	$51.29	$140.46
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $32.08 / $34.15 / $92.48	Professional	26	$32.08	$34.15	$92.48
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $14.65 / $18.98 / $47.98	Professional	TC	$14.65	$18.98	$47.98
United Facility/Professional Professional Modifier Low / Median / High Price $54.83 / $86.09 / $122.18	Professional		$54.83	$86.09	$122.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.40 / $57.88 / $97.53	Professional	26	$38.40	$57.88	$97.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.72 / $22.22 / $43.95	Professional	TC	$11.72	$22.22	$43.95