Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.49 / $48.49 / $48.49	Facility	26	$48.49	$48.49	$48.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $72.09 / $133.94	Professional		$63.72	$72.09	$133.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.00 / $47.02 / $63.09	Professional	26	$42.00	$47.02	$63.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.73 / $25.61 / $65.80	Professional	TC	$21.73	$25.61	$65.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.01 / $100.22 / $202.79	Professional		$76.01	$100.22	$202.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.41 / $58.39 / $101.15	Professional	26	$43.41	$58.39	$101.15
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.88 / $42.22 / $79.43	Professional	TC	$35.88	$42.22	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.30 / $121.82 / $182.73	Professional		$86.30	$121.82	$182.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.91 / $65.09 / $91.45	Professional	26	$50.91	$65.09	$91.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.69 / $60.27 / $91.28	Professional	TC	$29.69	$60.27	$91.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $96.87 / $97.84 / $171.93	Professional		$96.87	$97.84	$171.93
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $49.88 / $57.71 / $135.91	Professional	26	$49.88	$57.71	$135.91
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $46.99 / $47.46 / $128.05	Professional	TC	$46.99	$47.46	$128.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $82.87 / $128.88	Professional		$63.72	$82.87	$128.88
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $42.00 / $48.49 / $66.27	Professional	26	$42.00	$48.49	$66.27
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $21.73 / $34.38 / $65.80	Professional	TC	$21.73	$34.38	$65.80
United Facility/Professional Professional Modifier Low / Median / High Price $63.46 / $88.70 / $151.27	Professional		$63.46	$88.70	$151.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.32 / $60.38 / $81.05	Professional	26	$39.32	$60.38	$81.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.16 / $32.61 / $66.03	Professional	TC	$25.16	$32.61	$66.03