Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $28.84 / $28.84	Facility	26	$28.84	$28.84	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $173.78	Professional		$75.86	$100.00	$173.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $33.88 / $147.91	Professional	26	$19.95	$33.88	$147.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $74.13 / $128.82	Professional	TC	$56.23	$74.13	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $151.36 / $223.87	Professional		$50.12	$151.36	$223.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $34.67 / $54.95	Professional	26	$12.59	$34.67	$54.95
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $102.33 / $169.82	Professional	TC	$37.15	$102.33	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $125.89 / $177.83	Professional		$42.66	$125.89	$177.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $31.62 / $46.77	Professional	26	$12.59	$31.62	$46.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $95.50 / $131.83	Professional	TC	$30.20	$95.50	$131.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $186.21 / $331.13	Professional		$158.49	$186.21	$331.13
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $46.77 / $83.18	Professional	26	$38.90	$46.77	$83.18
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $141.25 / $269.15	Professional	TC	$120.23	$141.25	$269.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $138.04 / $288.40	Professional		$89.13	$138.04	$288.40
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $37.15 / $109.65	Professional	26	$23.99	$37.15	$109.65
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $93.33 / $213.80	Professional	TC	$64.57	$93.33	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $177.83 / $338.84	Professional		$109.65	$177.83	$338.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $45.71 / $69.18	Professional	26	$29.51	$45.71	$69.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $128.82 / $218.78	Professional	TC	$81.28	$128.82	$218.78