Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.39 / $41.39 / $45.48	Facility	26	$41.39	$41.39	$45.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.97 / $219.03 / $263.26	Professional		$156.97	$219.03	$263.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.94 / $56.89 / $69.98	Professional	26	$40.94	$56.89	$69.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $115.57 / $162.12 / $204.06	Professional	TC	$115.57	$162.12	$204.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.65 / $173.59 / $274.68	Professional		$142.65	$173.59	$274.68
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 $106.77 / $132.49 / $203.47	Professional	TC	$106.77	$132.49	$203.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.89 / $241.71 / $355.04	Professional		$185.89	$241.71	$355.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.76 / $60.28 / $93.23	Professional	26	$41.76	$60.28	$93.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $119.26 / $185.58 / $271.86	Professional	TC	$119.26	$185.58	$271.86
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $137.69 / $206.55 / $246.33	Professional		$137.69	$206.55	$246.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $194.97 / $233.59 / $346.05	Professional		$194.97	$233.59	$346.05
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 $148.80 / $178.28 / $264.11	Professional	TC	$148.80	$178.28	$264.11
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $41.39 / $41.39 / $45.48	Facility	26	$41.39	$41.39	$45.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $156.97 / $219.03 / $279.31	Professional		$156.97	$219.03	$279.31
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $41.39 / $56.89 / $82.78	Professional	26	$41.39	$56.89	$82.78
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $115.57 / $161.38 / $209.33	Professional	TC	$115.57	$161.38	$209.33
United Facility/Professional Professional Modifier Low / Median / High Price $154.35 / $231.39 / $324.77	Professional		$154.35	$231.39	$324.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.78 / $58.98 / $87.34	Professional	26	$40.78	$58.98	$87.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $126.06 / $171.54 / $249.66	Professional	TC	$126.06	$171.54	$249.66