Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $309.03 / $309.03 / $323.59	Facility	26	$309.03	$309.03	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $223.87	Professional		$75.86	$93.33	$223.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $15.14 / $36.31	Professional	26	$10.96	$15.14	$36.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $85.11 / $177.83	Professional	TC	$67.61	$85.11	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $165.96	Professional		$72.44	$100.00	$165.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $14.45 / $25.12	Professional	26	$10.47	$14.45	$25.12
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $83.18 / $141.25	Professional	TC	$61.66	$83.18	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $186.21	Professional		$95.50	$128.82	$186.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $15.85 / $26.92	Professional	26	$12.30	$15.85	$26.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $109.65 / $162.18	Professional	TC	$67.61	$109.65	$162.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $239.88	Professional		$100.00	$134.90	$239.88
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $19.05 / $33.11	Professional	26	$14.13	$19.05	$33.11
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $114.82 / $204.17	Professional	TC	$87.10	$114.82	$204.17
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $309.03 / $309.03 / $323.59	Facility	26	$309.03	$309.03	$323.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $239.88	Professional		$77.62	$114.82	$239.88
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $16.98 / $33.88	Professional	26	$11.48	$16.98	$33.88
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $102.33 / $199.53	Professional	TC	$72.44	$102.33	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $234.42	Professional		$83.18	$125.89	$234.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $17.78 / $33.11	Professional	26	$12.02	$17.78	$33.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $107.15 / $204.17	Professional	TC	$70.79	$107.15	$204.17