Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.76 / $25.76 / $25.76	Facility	26	$25.76	$25.76	$25.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.27 / $180.90 / $221.66	Professional		$134.27	$180.90	$221.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.76 / $22.44 / $35.07	Professional	26	$18.76	$22.44	$35.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $108.51 / $162.12 / $187.63	Professional	TC	$108.51	$162.12	$187.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.04 / $135.06 / $237.81	Professional		$119.04	$135.06	$237.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.32 / $25.32 / $44.50	Professional	26	$22.32	$25.32	$44.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $96.72 / $109.73 / $193.29	Professional	TC	$96.72	$109.73	$193.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.97 / $190.87 / $280.39	Professional		$146.97	$190.87	$280.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.91 / $31.10 / $52.06	Professional	26	$21.91	$31.10	$52.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $110.03 / $156.02 / $231.93	Professional	TC	$110.03	$156.02	$231.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $151.69 / $181.74 / $269.23	Professional		$151.69	$181.74	$269.23
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $28.44 / $34.07 / $50.48	Professional	26	$28.44	$34.07	$50.48
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $123.25 / $148.31 / $241.63	Professional	TC	$123.25	$148.31	$241.63
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $134.27 / $185.77 / $226.54	Professional		$134.27	$185.77	$226.54
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $18.76 / $25.00 / $37.36	Professional	26	$18.76	$25.00	$37.36
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $108.51 / $162.12 / $204.06	Professional	TC	$108.51	$162.12	$204.06
United Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $184.91 / $254.67	Professional		$124.80	$184.91	$254.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.68 / $35.44 / $54.38	Professional	26	$24.68	$35.44	$54.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $100.12 / $143.58 / $208.42	Professional	TC	$100.12	$143.58	$208.42