Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.34 / $80.84 / $92.17	Professional		$53.34	$80.84	$92.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.33 / $31.46 / $47.33	Professional	26	$28.33	$31.46	$47.33
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $26.14 / $35.17 / $46.09	Professional	52	$26.14	$35.17	$46.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.72 / $56.22 / $61.95	Professional	TC	$26.72	$56.22	$61.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.27 / $60.64 / $89.66	Professional		$49.27	$60.64	$89.66
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.10 / $36.54 / $56.59	Professional	26	$31.10	$36.54	$56.59
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $73.90 / $90.96 / $134.49	Professional	50	$73.90	$90.96	$134.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.17 / $24.08 / $33.06	Professional	TC	$18.17	$24.08	$33.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.72 / $91.48 / $142.38	Professional		$55.72	$91.48	$142.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.40 / $44.30 / $75.13	Professional	26	$28.40	$44.30	$75.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.60 / $37.03 / $75.88	Professional	TC	$20.60	$37.03	$75.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $58.12 / $103.16	Professional		$36.69	$58.12	$103.16
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $36.69 / $48.53 / $71.93	Professional	26	$36.69	$48.53	$71.93
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $21.43 / $25.68 / $38.04	Professional	TC	$21.43	$25.68	$38.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $54.92 / $75.23 / $93.29	Professional		$54.92	$75.23	$93.29
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $28.33 / $34.78 / $47.73	Professional	26	$28.33	$34.78	$47.73
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $26.14 / $35.17 / $43.23	Professional	52	$26.14	$35.17	$43.23
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $20.19 / $35.18 / $62.11	Professional	TC	$20.19	$35.18	$62.11
United Facility/Professional Professional Modifier Low / Median / High Price $59.38 / $114.57 / $148.52	Professional		$59.38	$114.57	$148.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.46 / $44.09 / $60.49	Professional	26	$31.46	$44.09	$60.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.34 / $67.12 / $92.62	Professional	TC	$28.34	$67.12	$92.62