Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.84 / $65.84 / $65.84	Facility	26	$65.84	$65.84	$65.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.51 / $103.06 / $163.13	Professional		$81.51	$103.06	$163.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.40 / $63.15 / $85.54	Professional	26	$56.40	$63.15	$85.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.10 / $29.58 / $72.16	Professional	TC	$25.10	$29.58	$72.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.75 / $122.15 / $249.39	Professional		$93.75	$122.15	$249.39
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.24 / $79.14 / $135.69	Professional	26	$58.24	$79.14	$135.69
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.11 / $46.03 / $86.60	Professional	TC	$39.11	$46.03	$86.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.43 / $149.72 / $222.57	Professional		$106.43	$149.72	$222.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.37 / $87.57 / $123.03	Professional	26	$68.37	$87.57	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.77 / $65.72 / $99.54	Professional	TC	$33.77	$65.72	$99.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $119.13 / $137.83 / $324.63	Professional		$119.13	$137.83	$324.63
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $67.59 / $78.20 / $184.21	Professional	26	$67.59	$78.20	$184.21
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $51.53 / $59.62 / $140.41	Professional	TC	$51.53	$59.62	$140.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $81.51 / $103.45 / $157.72	Professional		$81.51	$103.45	$157.72
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $56.40 / $65.84 / $89.82	Professional	26	$56.40	$65.84	$89.82
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $25.10 / $37.59 / $72.16	Professional	TC	$25.10	$37.59	$72.16
United Facility/Professional Professional Modifier Low / Median / High Price $88.58 / $117.29 / $197.84	Professional		$88.58	$117.29	$197.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.80 / $79.18 / $106.05	Professional	26	$57.80	$79.18	$106.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.79 / $37.26 / $75.11	Professional	TC	$28.79	$37.26	$75.11