Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.28 / $142.36 / $267.42	Professional		$117.28	$142.36	$267.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.18 / $47.85 / $66.64	Professional	26	$43.18	$47.85	$66.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $68.50 / $90.37 / $200.77	Professional	TC	$68.50	$90.37	$200.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.70 / $164.92 / $239.78	Professional		$127.70	$164.92	$239.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.43 / $50.66 / $78.84	Professional	26	$40.43	$50.66	$78.84
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $191.55 / $247.38 / $359.67	Professional	50	$191.55	$247.38	$359.67
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.48 / $116.17 / $176.28	Professional	TC	$85.48	$116.17	$176.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.26 / $192.74 / $315.99	Professional		$127.26	$192.74	$315.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.38 / $65.66 / $117.64	Professional	26	$42.38	$65.66	$117.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $81.64 / $120.88 / $227.06	Professional	TC	$81.64	$120.88	$227.06
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $194.56 / $234.12 / $422.35	Professional		$194.56	$234.12	$422.35
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $51.53 / $62.00 / $111.86	Professional	26	$51.53	$62.00	$111.86
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $143.03 / $172.12 / $310.49	Professional	TC	$143.03	$172.12	$310.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $117.28 / $146.91 / $251.92	Professional		$117.28	$146.91	$251.92
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $43.18 / $48.77 / $67.34	Professional	26	$43.18	$48.77	$67.34
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $68.50 / $94.50 / $179.18	Professional	TC	$68.50	$94.50	$179.18
United Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $150.41 / $237.36	Professional		$105.74	$150.41	$237.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.03 / $66.69 / $84.35	Professional	26	$44.03	$66.69	$84.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.71 / $89.04 / $165.49	Professional	TC	$61.71	$89.04	$165.49