Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.89 / $50.89 / $50.89	Facility	26	$50.89	$50.89	$50.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.32 / $153.15 / $226.62	Professional		$132.32	$153.15	$226.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.05 / $48.40 / $66.62	Professional	26	$43.05	$48.40	$66.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.27 / $106.59 / $159.99	Professional	TC	$89.27	$106.59	$159.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.47 / $205.74 / $349.49	Professional		$146.47	$205.74	$349.49
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.53 / $63.25 / $110.46	Professional	26	$45.53	$63.25	$110.46
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $100.94 / $140.22 / $239.03	Professional	TC	$100.94	$140.22	$239.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.26 / $220.69 / $310.05	Professional		$172.26	$220.69	$310.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.95 / $68.31 / $95.97	Professional	26	$52.95	$68.31	$95.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $111.70 / $152.38 / $214.08	Professional	TC	$111.70	$152.38	$214.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $166.94 / $200.01 / $296.30	Professional		$166.94	$200.01	$296.30
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $52.76 / $63.21 / $93.64	Professional	26	$52.76	$63.21	$93.64
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $114.18 / $136.80 / $202.66	Professional	TC	$114.18	$136.80	$202.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $144.46 / $154.52 / $239.65	Professional		$144.46	$154.52	$239.65
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $44.42 / $49.63 / $65.89	Professional	26	$44.42	$49.63	$65.89
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $99.57 / $107.05 / $173.76	Professional	TC	$99.57	$107.05	$173.76
United Facility/Professional Professional Modifier Low / Median / High Price $143.60 / $197.22 / $279.11	Professional		$143.60	$197.22	$279.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.85 / $64.50 / $85.80	Professional	26	$45.85	$64.50	$85.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $92.92 / $121.48 / $193.31	Professional	TC	$92.92	$121.48	$193.31