Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.66 / $108.66 / $108.66	Facility		$108.66	$108.66	$108.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.82 / $140.84 / $238.67	Professional		$113.82	$140.84	$238.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.77 / $23.79 / $33.99	Professional	26	$11.77	$23.79	$33.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $102.06 / $115.58 / $206.11	Professional	TC	$102.06	$115.58	$206.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.93 / $159.28 / $282.29	Professional		$134.93	$159.28	$282.29
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.58 / $24.96 / $43.87	Professional	26	$20.58	$24.96	$43.87
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $110.01 / $134.32 / $239.96	Professional	TC	$110.01	$134.32	$239.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.68 / $147.68 / $147.68	Facility		$147.68	$147.68	$147.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.75 / $26.75 / $26.75	Facility	26	$26.75	$26.75	$26.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.93 / $195.07 / $334.27	Professional		$151.93	$195.07	$334.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.15 / $27.73 / $51.09	Professional	26	$15.15	$27.73	$51.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.80 / $165.62 / $284.58	Professional	TC	$128.80	$165.62	$284.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $160.71 / $236.60 / $412.61	Professional		$160.71	$236.60	$412.61
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $25.18 / $37.07 / $64.65	Professional	26	$25.18	$37.07	$64.65
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $135.53 / $199.54 / $347.98	Professional	TC	$135.53	$199.54	$347.98
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $113.82 / $140.85 / $250.78	Professional		$113.82	$140.85	$250.78
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $11.77 / $24.17 / $41.45	Professional	26	$11.77	$24.17	$41.45
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $102.06 / $122.77 / $209.33	Professional	TC	$102.06	$122.77	$209.33
United Facility/Professional Professional Modifier Low / Median / High Price $144.81 / $220.40 / $341.98	Professional		$144.81	$220.40	$341.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.30 / $34.35 / $45.08	Professional	26	$21.30	$34.35	$45.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $129.96 / $185.59 / $288.67	Professional	TC	$129.96	$185.59	$288.67