Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.28 / $80.28 / $80.28	Facility	26	$80.28	$80.28	$80.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.65 / $214.53 / $304.64	Professional		$212.65	$214.53	$304.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.81 / $80.28 / $105.28	Professional	26	$71.81	$80.28	$105.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $133.78 / $142.30 / $199.37	Professional	TC	$133.78	$142.30	$199.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.38 / $277.88 / $472.03	Professional		$198.38	$277.88	$472.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.65 / $99.54 / $174.32	Professional	26	$71.65	$99.54	$174.32
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $126.72 / $175.26 / $297.70	Professional	TC	$126.72	$175.26	$297.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.90 / $289.29 / $420.21	Professional		$199.90	$289.29	$420.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.19 / $107.73 / $151.35	Professional	26	$84.19	$107.73	$151.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.47 / $184.70 / $268.86	Professional	TC	$112.47	$184.70	$268.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $225.47 / $270.14 / $400.19	Professional		$225.47	$270.14	$400.19
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $83.26 / $99.75 / $147.78	Professional	26	$83.26	$99.75	$147.78
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $142.21 / $170.38 / $278.80	Professional	TC	$142.21	$170.38	$278.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $204.75 / $229.24 / $320.80	Professional		$204.75	$229.24	$320.80
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $70.18 / $80.28 / $110.98	Professional	26	$70.18	$80.28	$110.98
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $132.93 / $148.83 / $216.62	Professional	TC	$132.93	$148.83	$216.62
United Facility/Professional Professional Modifier Low / Median / High Price $180.14 / $319.82 / $397.43	Professional		$180.14	$319.82	$397.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.63 / $101.78 / $136.41	Professional	26	$70.63	$101.78	$136.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.53 / $227.52 / $255.21	Professional	TC	$120.53	$227.52	$255.21