Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.60 / $47.60 / $47.60	Facility	26	$47.60	$47.60	$47.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $87.51 / $142.41	Professional		$79.34	$87.51	$142.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.99 / $46.18 / $67.93	Professional	26	$41.99	$46.18	$67.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.35 / $41.99 / $74.48	Professional	TC	$37.35	$41.99	$74.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.78 / $92.07 / $158.61	Professional		$83.78	$92.07	$158.61
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.05 / $47.01 / $79.61	Professional	26	$42.05	$47.01	$79.61
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $41.73 / $46.03 / $79.00	Professional	TC	$41.73	$46.03	$79.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.77 / $134.26 / $200.10	Professional		$92.77	$134.26	$200.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.13 / $69.31 / $102.80	Professional	26	$51.13	$69.31	$102.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.64 / $63.62 / $101.10	Professional	TC	$41.64	$63.62	$101.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $90.75 / $112.10 / $189.49	Professional		$90.75	$112.10	$189.49
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $45.55 / $56.27 / $116.33	Professional	26	$45.55	$56.27	$116.33
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $45.19 / $55.83 / $115.42	Professional	TC	$45.19	$55.83	$115.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $76.78 / $89.94 / $120.83	Professional		$76.78	$89.94	$120.83
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $41.89 / $46.18 / $62.09	Professional	26	$41.89	$46.18	$62.09
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $34.88 / $42.33 / $58.73	Professional	TC	$34.88	$42.33	$58.73
United Facility/Professional Professional Modifier Low / Median / High Price $87.70 / $119.41 / $179.03	Professional		$87.70	$119.41	$179.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.59 / $69.89 / $98.53	Professional	26	$53.59	$69.89	$98.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.14 / $56.55 / $91.15	Professional	TC	$41.14	$56.55	$91.15