Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.45 / $49.45 / $49.45	Facility	26	$49.45	$49.45	$49.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.63 / $227.30 / $436.57	Professional		$206.63	$227.30	$436.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.14 / $49.28 / $70.01	Professional	26	$44.14	$49.28	$70.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.49 / $178.73 / $366.55	Professional	TC	$162.49	$178.73	$366.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.42 / $281.86 / $523.30	Professional		$248.42	$281.86	$523.30
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.34 / $49.18 / $86.47	Professional	26	$43.34	$49.18	$86.47
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $205.08 / $233.25 / $436.84	Professional	TC	$205.08	$233.25	$436.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.83 / $390.07 / $604.91	Professional		$288.83	$390.07	$604.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.49 / $65.20 / $100.21	Professional	26	$48.49	$65.20	$100.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $204.55 / $327.18 / $504.70	Professional	TC	$204.55	$327.18	$504.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $316.57 / $379.28 / $561.88	Professional		$316.57	$379.28	$561.88
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $55.23 / $66.17 / $98.03	Professional	26	$55.23	$66.17	$98.03
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $261.33 / $313.10 / $463.83	Professional	TC	$261.33	$313.10	$463.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $206.63 / $285.72 / $441.47	Professional		$206.63	$285.72	$441.47
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $44.14 / $49.45 / $73.09	Professional	26	$44.14	$49.45	$73.09
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $162.49 / $236.25 / $366.55	Professional	TC	$162.49	$236.25	$366.55
United Facility/Professional Professional Modifier Low / Median / High Price $255.12 / $383.86 / $562.90	Professional		$255.12	$383.86	$562.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.53 / $67.20 / $91.52	Professional	26	$47.53	$67.20	$91.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $217.71 / $317.54 / $471.38	Professional	TC	$217.71	$317.54	$471.38