Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.27 / $41.27 / $52.23	Facility	26	$41.27	$41.27	$52.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.96 / $209.00 / $356.10	Professional		$179.96	$209.00	$356.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.30 / $38.34 / $57.51	Professional	26	$28.30	$38.34	$57.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $161.75 / $167.73 / $259.95	Professional	TC	$161.75	$167.73	$259.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.79 / $206.25 / $362.44	Professional		$181.79	$206.25	$362.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.22 / $41.10 / $71.20	Professional	26	$36.22	$41.10	$71.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $145.56 / $165.15 / $291.22	Professional	TC	$145.56	$165.15	$291.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.89 / $293.82 / $429.79	Professional		$213.89	$293.82	$429.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.77 / $48.69 / $83.64	Professional	26	$34.77	$48.69	$83.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $153.56 / $238.25 / $346.15	Professional	TC	$153.56	$238.25	$346.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $231.66 / $277.55 / $411.17	Professional		$231.66	$277.55	$411.17
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $46.17 / $55.32 / $81.95	Professional	26	$46.17	$55.32	$81.95
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $185.49 / $222.24 / $329.23	Professional	TC	$185.49	$222.24	$329.23
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $41.27 / $42.79 / $140.27	Facility	26	$41.27	$42.79	$140.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $190.78 / $221.49 / $356.10	Professional		$190.78	$221.49	$356.10
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $28.30 / $41.27 / $69.53	Professional	26	$28.30	$41.27	$69.53
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $162.49 / $175.44 / $286.57	Professional	TC	$162.49	$175.44	$286.57
United Facility/Professional Professional Modifier Low / Median / High Price $193.37 / $276.63 / $388.64	Professional		$193.37	$276.63	$388.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.17 / $56.74 / $74.62	Professional	26	$39.17	$56.74	$74.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $162.10 / $219.89 / $314.02	Professional	TC	$162.10	$219.89	$314.02