Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.25 / $41.25 / $41.25	Facility	26	$41.25	$41.25	$41.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $215.68 / $346.24	Professional		$183.96	$215.68	$346.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.46 / $35.00 / $57.26	Professional	26	$21.46	$35.00	$57.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $161.75 / $174.43 / $275.93	Professional	TC	$161.75	$174.43	$275.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.84 / $216.53 / $377.70	Professional		$190.84	$216.53	$377.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.22 / $41.10 / $71.20	Professional	26	$36.22	$41.10	$71.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $154.62 / $175.43 / $306.49	Professional	TC	$154.62	$175.43	$306.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.90 / $291.58 / $440.27	Professional		$220.90	$291.58	$440.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.97 / $49.17 / $82.63	Professional	26	$27.97	$49.17	$82.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $156.22 / $246.98 / $357.63	Professional	TC	$156.22	$246.98	$357.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $243.20 / $291.38 / $431.66	Professional		$243.20	$291.38	$431.66
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $46.17 / $55.32 / $81.95	Professional	26	$46.17	$55.32	$81.95
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $197.03 / $236.06 / $349.71	Professional	TC	$197.03	$236.06	$349.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $219.30 / $373.54	Professional		$183.96	$219.30	$373.54
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $21.46 / $40.88 / $69.31	Professional	26	$21.46	$40.88	$69.31
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $151.80 / $179.29 / $304.20	Professional	TC	$151.80	$179.29	$304.20
United Facility/Professional Professional Modifier Low / Median / High Price $193.08 / $285.55 / $404.90	Professional		$193.08	$285.55	$404.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.22 / $56.59 / $74.38	Professional	26	$39.22	$56.59	$74.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $157.88 / $229.23 / $330.52	Professional	TC	$157.88	$229.23	$330.52