Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.35 / $48.31 / $52.28	Facility	26	$44.35	$48.31	$52.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.65 / $111.54 / $203.92	Professional		$108.65	$111.54	$203.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.76 / $28.83 / $45.95	Professional	26	$25.76	$28.83	$45.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $82.54 / $83.43 / $126.39	Professional	TC	$82.54	$83.43	$126.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.67 / $146.65 / $251.98	Professional		$105.67	$146.65	$251.98
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.76 / $35.79 / $63.00	Professional	26	$25.76	$35.79	$63.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $78.01 / $108.37 / $188.98	Professional	TC	$78.01	$108.37	$188.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.38 / $151.09 / $219.95	Professional		$122.38	$151.09	$219.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.40 / $38.70 / $54.38	Professional	26	$30.40	$38.70	$54.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.85 / $113.74 / $165.57	Professional	TC	$85.85	$113.74	$165.57
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $147.72 / $235.97	Professional		$120.36	$147.72	$235.97
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $30.09 / $36.04 / $53.41	Professional	26	$30.09	$36.04	$53.41
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $104.44 / $119.39 / $176.97	Professional	TC	$104.44	$119.39	$176.97
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $28.98 / $44.74 / $52.28	Facility	26	$28.98	$44.74	$52.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $108.65 / $115.59 / $185.09	Professional		$108.65	$115.59	$185.09
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $25.76 / $28.99 / $45.74	Professional	26	$25.76	$28.99	$45.74
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $82.54 / $86.57 / $126.39	Professional	TC	$82.54	$86.57	$126.39
United Facility/Professional Professional Modifier Low / Median / High Price $100.69 / $169.59 / $204.68	Professional		$100.69	$169.59	$204.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.52 / $36.76 / $49.25	Professional	26	$25.52	$36.76	$49.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.34 / $128.25 / $160.32	Professional	TC	$74.34	$128.25	$160.32