Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.14 / $29.14 / $29.14	Facility	26	$29.14	$29.14	$29.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.29 / $98.79 / $145.69	Professional		$86.29	$98.79	$145.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.42 / $24.95 / $34.24	Professional	26	$23.42	$24.95	$34.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.86 / $84.55 / $94.49	Professional	TC	$62.86	$84.55	$94.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.06 / $61.66 / $254.34	Professional		$56.06	$61.66	$254.34
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.70 / $14.69 / $62.31	Professional	26	$13.70	$14.69	$62.31
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.36 / $42.36 / $192.03	Professional	TC	$42.36	$42.36	$192.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.32 / $126.18 / $177.25	Professional		$87.32	$126.18	$177.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.13 / $31.69 / $46.43	Professional	26	$21.13	$31.69	$46.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.19 / $94.49 / $130.81	Professional	TC	$66.19	$94.49	$130.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $159.52 / $191.12 / $283.13	Professional		$159.52	$191.12	$283.13
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $40.40 / $48.40 / $71.70	Professional	26	$40.40	$48.40	$71.70
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $119.13 / $142.72 / $211.44	Professional	TC	$119.13	$142.72	$211.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $93.98 / $113.70 / $274.64	Professional		$93.98	$113.70	$274.64
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $24.89 / $29.15 / $72.94	Professional	26	$24.89	$29.15	$72.94
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $69.06 / $85.26 / $181.74	Professional	TC	$69.06	$85.26	$181.74
United Facility/Professional Professional Modifier Low / Median / High Price $80.78 / $129.85 / $220.34	Professional		$80.78	$129.85	$220.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.78 / $46.80 / $61.04	Professional	26	$29.78	$46.80	$61.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.97 / $100.83 / $211.44	Professional	TC	$60.97	$100.83	$211.44