Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $48.98 / $48.98	Facility	26	$48.98	$48.98	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $251.19	Professional		$66.07	$89.13	$251.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $54.95 / $131.83	Professional	26	$39.81	$54.95	$131.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $38.90 / $75.86	Professional	TC	$23.44	$38.90	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $112.20 / $204.17	Professional		$74.13	$112.20	$204.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $61.66 / $104.71	Professional	26	$38.90	$61.66	$104.71
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $51.29 / $93.33	Professional	TC	$32.36	$51.29	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $104.71 / $177.83	Professional		$83.18	$104.71	$177.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $58.88 / $91.20	Professional	26	$48.98	$58.88	$91.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $50.12 / $87.10	Professional	TC	$28.84	$50.12	$87.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $120.23 / $218.78	Professional		$74.13	$120.23	$218.78
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $64.57 / $123.03	Professional	26	$48.98	$64.57	$123.03
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $58.88 / $107.15	Professional	TC	$40.74	$58.88	$107.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $104.71 / $223.87	Professional		$69.18	$104.71	$223.87
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $57.54 / $131.83	Professional	26	$42.66	$57.54	$131.83
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $45.71 / $85.11	Professional	TC	$23.44	$45.71	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $97.72 / $165.96	Professional		$74.13	$97.72	$165.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $60.26 / $89.13	Professional	26	$42.66	$60.26	$89.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $43.65 / $77.62	Professional	TC	$26.30	$43.65	$77.62