Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.79 / $84.80 / $84.80	Facility	26	$84.79	$84.80	$84.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.78 / $151.37 / $217.46	Professional		$133.78	$151.37	$217.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.04 / $82.73 / $122.11	Professional	26	$72.04	$82.73	$122.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.75 / $67.92 / $95.34	Professional	TC	$61.75	$67.92	$95.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.41 / $140.85 / $255.62	Professional		$128.41	$140.85	$255.62
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.04 / $80.63 / $147.52	Professional	26	$75.04	$80.63	$147.52
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.37 / $63.56 / $108.09	Professional	TC	$53.37	$63.56	$108.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.08 / $180.75 / $308.43	Professional		$90.08	$180.75	$308.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.66 / $123.49 / $183.99	Professional	26	$90.66	$123.49	$183.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.95 / $98.54 / $159.97	Professional	TC	$71.95	$98.54	$159.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $139.09 / $165.28 / $290.44	Professional		$139.09	$165.28	$290.44
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $81.29 / $100.41 / $169.73	Professional	26	$81.29	$100.41	$169.73
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $57.81 / $71.41 / $120.71	Professional	TC	$57.81	$71.41	$120.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $135.19 / $152.46 / $225.66	Professional		$135.19	$152.46	$225.66
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $73.89 / $84.80 / $126.54	Professional	26	$73.89	$84.80	$126.54
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $61.75 / $67.92 / $103.58	Professional	TC	$61.75	$67.92	$103.58
United Facility/Professional Professional Modifier Low / Median / High Price $148.02 / $201.88 / $315.61	Professional		$148.02	$201.88	$315.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.03 / $127.79 / $169.73	Professional	26	$95.03	$127.79	$169.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $68.11 / $89.17 / $140.06	Professional	TC	$68.11	$89.17	$140.06