Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.24 / $7.24 / $7.24	Facility	26	$7.24	$7.24	$7.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $7.94 / $83.18	Professional	26	$5.01	$7.94	$83.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $23.99 / $125.89	Professional	TC	$18.20	$23.99	$125.89
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $34.67 / $63.10	Professional	26	$23.44	$34.67	$63.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $109.65 / $199.53	Professional	TC	$61.66	$109.65	$199.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $36.31 / $54.95	Professional	26	$28.84	$36.31	$54.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $114.82 / $173.78	Professional	TC	$91.20	$114.82	$173.78
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $39.81 / $74.13	Professional	26	$29.51	$39.81	$74.13
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $128.82 / $251.19	Professional	TC	$95.50	$128.82	$251.19
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $23.99 / $74.13	Professional	26	$6.03	$23.99	$74.13
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $32.36 / $151.36	Professional	TC	$20.89	$32.36	$151.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $37.15 / $79.43	Professional	26	$30.20	$37.15	$79.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $120.23 / $251.19	Professional	TC	$97.72	$120.23	$251.19