Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.67 / $43.67 / $43.67	Facility	26	$43.67	$43.67	$43.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.50 / $75.59 / $127.99	Professional		$59.50	$75.59	$127.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.43 / $43.03 / $56.40	Professional	26	$38.43	$43.03	$56.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.05 / $24.82 / $71.59	Professional	TC	$21.05	$24.82	$71.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.04 / $92.89 / $197.73	Professional		$75.04	$92.89	$197.73
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.17 / $52.11 / $91.27	Professional	26	$39.17	$52.11	$91.27
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.82 / $45.68 / $85.94	Professional	TC	$38.82	$45.68	$85.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.23 / $120.48 / $181.21	Professional		$81.23	$120.48	$181.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.28 / $58.67 / $82.42	Professional	26	$45.28	$58.67	$82.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.05 / $65.23 / $98.79	Professional	TC	$28.05	$65.23	$98.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $95.63 / $95.63 / $169.73	Professional		$95.63	$95.63	$169.73
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $44.52 / $44.97 / $121.32	Professional	26	$44.52	$44.97	$121.32
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $51.11 / $59.13 / $139.27	Professional	TC	$51.11	$59.13	$139.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $59.50 / $80.87 / $127.99	Professional		$59.50	$80.87	$127.99
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $38.43 / $43.67 / $59.30	Professional	26	$38.43	$43.67	$59.30
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $21.05 / $37.18 / $71.59	Professional	TC	$21.05	$37.18	$71.59
United Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $89.23 / $160.13	Professional		$65.56	$89.23	$160.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.36 / $54.80 / $70.86	Professional	26	$38.36	$54.80	$70.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.61 / $31.47 / $74.31	Professional	TC	$25.61	$31.47	$74.31