Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $46.77 / $50.12	Facility	26	$28.84	$46.77	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $331.13	Professional		$97.72	$134.90	$331.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $39.81 / $83.18	Professional	26	$23.44	$39.81	$83.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $87.10 / $173.78	Professional	TC	$72.44	$87.10	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $288.40	Professional		$97.72	$147.91	$288.40
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $37.15 / $72.44	Professional	26	$23.99	$37.15	$72.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $112.20 / $218.78	Professional	TC	$75.86	$112.20	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $223.87	Professional		$114.82	$151.36	$223.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $38.02 / $57.54	Professional	26	$28.18	$38.02	$57.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $114.82 / $165.96	Professional	TC	$72.44	$114.82	$165.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $288.40	Professional		$112.20	$158.49	$288.40
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $38.90 / $70.79	Professional	26	$30.20	$38.90	$70.79
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $123.03 / $218.78	Professional	TC	$93.33	$123.03	$218.78
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $46.77 / $52.48	Facility	26	$28.84	$46.77	$52.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $323.59	Professional		$100.00	$138.04	$323.59
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $35.48 / $77.62	Professional	26	$23.99	$35.48	$77.62
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $100.00 / $190.55	Professional	TC	$77.62	$100.00	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $165.96 / $288.40	Professional		$97.72	$165.96	$288.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $37.15 / $69.18	Professional	26	$25.70	$37.15	$69.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $125.89 / $213.80	Professional	TC	$72.44	$125.89	$213.80