Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $154.88	Professional		$70.79	$107.15	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $43.65 / $436.52	Professional	26	$23.99	$43.65	$436.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $72.44 / $100.00	Professional	TC	$45.71	$72.44	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $213.80 / $281.84	Professional		$57.54	$213.80	$281.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $63.10 / $77.62	Professional	26	$15.85	$63.10	$77.62
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $147.91 / $204.17	Professional	TC	$41.69	$147.91	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $446.68	Professional		$109.65	$162.18	$446.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $52.48 / $109.65	Professional	26	$33.11	$52.48	$109.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $109.65 / $331.13	Professional	TC	$77.62	$109.65	$331.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $416.87	Professional		$181.97	$223.87	$416.87
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $60.26 / $112.20	Professional	26	$50.12	$60.26	$112.20
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $158.49 / $295.12	Professional	TC	$131.83	$158.49	$295.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $537.03	Professional		$85.11	$134.90	$537.03
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $52.48 / $234.42	Professional	26	$34.67	$52.48	$234.42
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $100.00 / $371.54	Professional	TC	$53.70	$100.00	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $186.21 / $407.38	Professional		$114.82	$186.21	$407.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $60.26 / $112.20	Professional	26	$24.55	$60.26	$112.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $131.83 / $295.12	Professional	TC	$64.57	$131.83	$295.12