Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.76 / $86.77 / $86.77	Facility	26	$86.76	$86.77	$86.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.08 / $169.57 / $254.57	Professional		$130.08	$169.57	$254.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.04 / $83.62 / $124.46	Professional	26	$75.04	$83.62	$124.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.03 / $89.05 / $130.10	Professional	TC	$55.03	$89.05	$130.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.08 / $203.48 / $282.95	Professional		$164.08	$203.48	$282.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.61 / $99.25 / $145.15	Professional	26	$77.61	$99.25	$145.15
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $84.66 / $104.23 / $144.79	Professional	TC	$84.66	$104.23	$144.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.33 / $211.81 / $371.44	Professional		$89.33	$211.81	$371.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.56 / $126.37 / $188.98	Professional	26	$91.56	$126.37	$188.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.59 / $135.96 / $213.87	Professional	TC	$73.59	$135.96	$213.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $83.04 / $190.44 / $338.01	Professional		$83.04	$190.44	$338.01
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $97.69 / $113.03 / $212.07	Professional	26	$97.69	$113.03	$212.07
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $78.84 / $97.39 / $164.62	Professional	TC	$78.84	$97.39	$164.62
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $130.08 / $180.13 / $265.62	Professional		$130.08	$180.13	$265.62
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $75.04 / $86.76 / $129.18	Professional	26	$75.04	$86.76	$129.18
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $54.79 / $91.83 / $141.40	Professional	TC	$54.79	$91.83	$141.40
United Facility/Professional Professional Modifier Low / Median / High Price $175.76 / $243.49 / $325.30	Professional		$175.76	$243.49	$325.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.17 / $117.74 / $160.61	Professional	26	$85.17	$117.74	$160.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.64 / $122.61 / $193.26	Professional	TC	$90.64	$122.61	$193.26