Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.39 / $25.39 / $25.39	Facility	26	$25.39	$25.39	$25.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.15 / $179.60 / $289.94	Professional		$171.15	$179.60	$289.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.15 / $25.40 / $37.88	Professional	26	$23.15	$25.40	$37.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $145.75 / $156.46 / $255.28	Professional	TC	$145.75	$156.46	$255.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.29 / $175.06 / $305.20	Professional		$154.29	$175.06	$305.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.64 / $25.69 / $44.50	Professional	26	$22.64	$25.69	$44.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $131.65 / $149.37 / $260.70	Professional	TC	$131.65	$149.37	$260.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.00 / $240.98 / $352.93	Professional		$185.00	$240.98	$352.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.65 / $34.08 / $52.32	Professional	26	$25.65	$34.08	$52.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $136.88 / $206.47 / $300.61	Professional	TC	$136.88	$206.47	$300.61
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $196.62 / $235.57 / $348.98	Professional		$196.62	$235.57	$348.98
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $28.85 / $34.57 / $51.21	Professional	26	$28.85	$34.57	$51.21
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $167.77 / $194.11 / $328.91	Professional	TC	$167.77	$194.11	$328.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $171.15 / $245.36 / $302.30	Professional		$171.15	$245.36	$302.30
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $25.06 / $25.76 / $43.17	Professional	26	$25.06	$25.76	$43.17
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $145.75 / $209.89 / $259.11	Professional	TC	$145.75	$209.89	$259.11
United Facility/Professional Professional Modifier Low / Median / High Price $166.17 / $236.57 / $348.98	Professional		$166.17	$236.57	$348.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.16 / $35.25 / $46.25	Professional	26	$24.16	$35.25	$46.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $140.96 / $201.32 / $281.02	Professional	TC	$140.96	$201.32	$281.02