Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $147.91	Professional		$66.07	$93.33	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $28.18 / $44.67	Professional	26	$20.89	$28.18	$44.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $64.57 / $114.82	Professional	TC	$44.67	$64.57	$114.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $181.97 / $204.17	Professional		$42.66	$181.97	$204.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $48.98 / $61.66	Professional	26	$12.30	$48.98	$61.66
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $117.49 / $144.54	Professional	TC	$30.20	$117.49	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $501.19	Professional		$91.20	$138.04	$501.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $42.66 / $107.15	Professional	26	$26.92	$42.66	$107.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $95.50 / $389.05	Professional	TC	$64.57	$95.50	$389.05
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $295.12	Professional		$128.82	$158.49	$295.12
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $46.77 / $87.10	Professional	26	$38.90	$46.77	$87.10
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $112.20 / $208.93	Professional	TC	$91.20	$112.20	$208.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $138.04 / $602.56	Professional		$83.18	$138.04	$602.56
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $37.15 / $151.36	Professional	26	$25.70	$37.15	$151.36
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $95.50 / $457.09	Professional	TC	$57.54	$95.50	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $295.12	Professional		$107.15	$162.18	$295.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $50.12 / $87.10	Professional	26	$19.05	$50.12	$87.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $109.65 / $208.93	Professional	TC	$47.86	$109.65	$208.93