Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.77 / $39.77 / $39.77	Facility	26	$39.77	$39.77	$39.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.08 / $278.89 / $417.48	Professional		$273.08	$278.89	$417.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.10 / $39.77 / $56.38	Professional	26	$36.10	$39.77	$56.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $236.99 / $239.12 / $361.09	Professional	TC	$236.99	$239.12	$361.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.72 / $270.85 / $472.44	Professional		$238.72	$270.85	$472.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.54 / $41.47 / $70.58	Professional	26	$36.54	$41.47	$70.58
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $202.17 / $229.38 / $401.86	Professional	TC	$202.17	$229.38	$401.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.67 / $350.16 / $562.80	Professional		$275.67	$350.16	$562.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.51 / $50.47 / $81.36	Professional	26	$40.51	$50.47	$81.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $235.16 / $300.45 / $481.44	Professional	TC	$235.16	$300.45	$481.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $304.20 / $364.46 / $539.91	Professional		$304.20	$364.46	$539.91
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $46.58 / $55.81 / $82.67	Professional	26	$46.58	$55.81	$82.67
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $257.63 / $308.67 / $457.27	Professional	TC	$257.63	$308.67	$457.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $268.44 / $293.85 / $417.48	Professional		$268.44	$293.85	$417.48
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $37.29 / $39.77 / $56.38	Professional	26	$37.29	$39.77	$56.38
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $231.15 / $248.50 / $361.09	Professional	TC	$231.15	$248.50	$361.09
United Facility/Professional Professional Modifier Low / Median / High Price $258.16 / $360.56 / $506.08	Professional		$258.16	$360.56	$506.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.92 / $54.54 / $72.73	Professional	26	$37.92	$54.54	$72.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $231.44 / $306.02 / $430.81	Professional	TC	$231.44	$306.02	$430.81