Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $66.39 / $134.22	Professional		$33.39	$66.39	$134.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.52 / $33.40 / $36.81	Professional	26	$21.52	$33.40	$36.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.67 / $32.97 / $97.42	Professional	TC	$16.67	$32.97	$97.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $47.76 / $74.40	Professional		$40.53	$47.76	$74.40
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.38 / $26.16 / $40.04	Professional	26	$20.38	$26.16	$40.04
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $60.79 / $71.64 / $111.60	Professional	50	$60.79	$71.64	$111.60
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.30 / $21.86 / $32.85	Professional	TC	$17.30	$21.86	$32.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.12 / $85.86 / $157.15	Professional		$49.12	$85.86	$157.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.37 / $39.97 / $63.50	Professional	26	$26.37	$39.97	$63.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.75 / $38.76 / $117.17	Professional	TC	$22.75	$38.76	$117.17
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $47.82 / $56.10 / $103.81	Professional		$47.82	$56.10	$103.81
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $25.97 / $30.05 / $46.09	Professional	26	$25.97	$30.05	$46.09
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $21.85 / $26.66 / $50.40	Professional	TC	$21.85	$26.66	$50.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.19 / $66.39 / $149.33	Professional		$38.19	$66.39	$149.33
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $22.19 / $33.40 / $42.82	Professional	26	$22.19	$33.40	$42.82
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $18.73 / $32.97 / $111.41	Professional	TC	$18.73	$32.97	$111.41
United Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $52.88 / $79.59	Professional		$39.70	$52.88	$79.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.74 / $31.58 / $42.72	Professional	26	$22.74	$31.58	$42.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.96 / $22.64 / $36.88	Professional	TC	$16.96	$22.64	$36.88