Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $134.90	Professional		$44.67	$64.57	$134.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $29.51 / $74.13	Professional	26	$22.91	$29.51	$74.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $34.67 / $66.07	Professional	TC	$17.78	$34.67	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $83.18 / $151.36	Professional		$54.95	$83.18	$151.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $38.02 / $64.57	Professional	26	$23.99	$38.02	$64.57
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $45.71 / $85.11	Professional	TC	$25.12	$45.71	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $77.62 / $134.90	Professional		$56.23	$77.62	$134.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $36.31 / $56.23	Professional	26	$29.51	$36.31	$56.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $45.71 / $77.62	Professional	TC	$22.39	$45.71	$77.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $91.20 / $165.96	Professional		$54.95	$91.20	$165.96
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $40.74 / $75.86	Professional	26	$30.20	$40.74	$75.86
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $54.95 / $97.72	Professional	TC	$36.31	$54.95	$97.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $72.44 / $158.49	Professional		$44.67	$72.44	$158.49
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $34.67 / $79.43	Professional	26	$25.70	$34.67	$79.43
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $40.74 / $72.44	Professional	TC	$17.78	$40.74	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $123.03	Professional		$52.48	$74.13	$123.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $37.15 / $54.95	Professional	26	$26.30	$37.15	$54.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $38.90 / $69.18	Professional	TC	$21.38	$38.90	$69.18