Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $36.31 / $36.31	Facility	26	$36.31	$36.31	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $72.44 / $134.90	Professional		$52.48	$72.44	$134.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $38.90 / $95.50	Professional	26	$30.20	$38.90	$95.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $36.31 / $69.18	Professional	TC	$19.50	$36.31	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $95.50 / $169.82	Professional		$61.66	$95.50	$169.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $46.77 / $79.43	Professional	26	$29.51	$46.77	$79.43
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $47.86 / $87.10	Professional	TC	$26.30	$47.86	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $151.36	Professional		$64.57	$87.10	$151.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $44.67 / $69.18	Professional	26	$36.31	$44.67	$69.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $47.86 / $81.28	Professional	TC	$23.44	$47.86	$81.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $100.00 / $186.21	Professional		$50.12	$100.00	$186.21
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $50.12 / $97.72	Professional	26	$36.31	$50.12	$97.72
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $58.88 / $112.20	Professional	TC	$38.02	$58.88	$112.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $173.78	Professional		$53.70	$87.10	$173.78
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $44.67 / $95.50	Professional	26	$32.36	$44.67	$95.50
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $43.65 / $70.79	Professional	TC	$19.95	$43.65	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $83.18 / $138.04	Professional		$60.26	$83.18	$138.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $45.71 / $67.61	Professional	26	$32.36	$45.71	$67.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $40.74 / $72.44	Professional	TC	$22.39	$40.74	$72.44