Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $25.70 / $25.70	Facility	26	$25.70	$25.70	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $223.87	Professional		$117.49	$147.91	$223.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $23.99 / $50.12	Professional	26	$19.95	$23.99	$50.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $114.82 / $194.98	Professional	TC	$93.33	$114.82	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $251.19	Professional		$107.15	$151.36	$251.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $28.18 / $44.67	Professional	26	$20.42	$28.18	$44.67
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $123.03 / $199.53	Professional	TC	$85.11	$123.03	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $281.84	Professional		$147.91	$186.21	$281.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $28.84 / $51.29	Professional	26	$20.89	$28.84	$51.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $154.88 / $234.42	Professional	TC	$100.00	$154.88	$234.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $354.81	Professional		$151.36	$199.53	$354.81
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $38.02 / $66.07	Professional	26	$28.18	$38.02	$66.07
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $162.18 / $288.40	Professional	TC	$123.03	$162.18	$288.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $398.11	Professional		$123.03	$181.97	$398.11
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $29.51 / $63.10	Professional	26	$20.89	$29.51	$63.10
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $151.36 / $323.59	Professional	TC	$100.00	$151.36	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $354.81	Professional		$125.89	$181.97	$354.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $35.48 / $66.07	Professional	26	$22.39	$35.48	$66.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $144.54 / $281.84	Professional	TC	$102.33	$144.54	$281.84