Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.35 / $48.35 / $61.79	Facility	26	$48.35	$48.35	$61.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $101.98 / $155.12	Professional		$84.00	$101.98	$155.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.82 / $48.35 / $69.97	Professional	26	$43.82	$48.35	$69.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.17 / $49.57 / $85.15	Professional	TC	$40.17	$49.57	$85.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.57 / $123.76 / $171.92	Professional		$90.57	$123.76	$171.92
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.02 / $55.24 / $81.45	Professional	26	$43.02	$55.24	$81.45
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $47.55 / $66.64 / $92.57	Professional	TC	$47.55	$66.64	$92.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.46 / $125.42 / $222.76	Professional		$86.46	$125.42	$222.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.02 / $70.41 / $110.74	Professional	26	$55.02	$70.41	$110.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.43 / $79.13 / $125.76	Professional	TC	$52.43	$79.13	$125.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $116.57 / $204.86	Professional		$98.11	$116.57	$204.86
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $46.60 / $55.37 / $119.00	Professional	26	$46.60	$55.37	$119.00
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $51.50 / $63.62 / $131.53	Professional	TC	$51.50	$63.62	$131.53
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $48.35 / $53.87 / $61.79	Facility	26	$48.35	$53.87	$61.79
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $103.42 / $177.41	Professional		$84.00	$103.42	$177.41
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $43.82 / $50.06 / $83.57	Professional	26	$43.82	$50.06	$83.57
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $40.17 / $53.64 / $93.83	Professional	TC	$40.17	$53.64	$93.83
United Facility/Professional Professional Modifier Low / Median / High Price $100.77 / $129.97 / $196.49	Professional		$100.77	$129.97	$196.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.63 / $66.01 / $100.09	Professional	26	$51.63	$66.01	$100.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.83 / $66.26 / $107.20	Professional	TC	$53.83	$66.26	$107.20