Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $70.79 / $70.79	Facility	26	$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $117.49 / $281.84	Professional		$93.33	$117.49	$281.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $75.86 / $186.21	Professional	26	$57.54	$75.86	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $44.67 / $89.13	Professional	TC	$30.20	$44.67	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $269.15	Professional		$97.72	$151.36	$269.15
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $91.20 / $154.88	Professional	26	$57.54	$91.20	$154.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $60.26 / $109.65	Professional	TC	$41.69	$60.26	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $234.42	Professional		$109.65	$138.04	$234.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $87.10 / $134.90	Professional	26	$70.79	$87.10	$134.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $58.88 / $102.33	Professional	TC	$37.15	$58.88	$102.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $158.49 / $295.12	Professional		$97.72	$158.49	$295.12
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $93.33 / $186.21	Professional	26	$70.79	$93.33	$186.21
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $72.44 / $134.90	Professional	TC	$47.86	$72.44	$134.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $138.04 / $281.84	Professional		$97.72	$138.04	$281.84
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $81.28 / $177.83	Professional	26	$63.10	$81.28	$177.83
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $53.70 / $97.72	Professional	TC	$30.20	$53.70	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $213.80	Professional		$100.00	$134.90	$213.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $89.13 / $128.82	Professional	26	$63.10	$89.13	$128.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $51.29 / $91.20	Professional	TC	$33.11	$51.29	$91.20