Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.09 / $48.09 / $48.09	Facility	26	$48.09	$48.09	$48.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.75 / $148.08 / $197.16	Professional		$134.75	$148.08	$197.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.92 / $47.21 / $67.64	Professional	26	$42.92	$47.21	$67.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $86.66 / $105.15 / $139.51	Professional	TC	$86.66	$105.15	$139.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.18 / $132.63 / $232.71	Professional		$114.18	$132.63	$232.71
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.37 / $47.74 / $83.30	Professional	26	$42.37	$47.74	$83.30
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $71.81 / $84.91 / $149.43	Professional	TC	$71.81	$84.91	$149.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.21 / $196.24 / $300.79	Professional		$138.21	$196.24	$300.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.52 / $70.04 / $104.59	Professional	26	$52.52	$70.04	$104.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.76 / $133.97 / $196.20	Professional	TC	$87.76	$133.97	$196.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $123.68 / $146.97 / $258.27	Professional		$123.68	$146.97	$258.27
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $45.90 / $56.70 / $95.84	Professional	26	$45.90	$56.70	$95.84
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $77.78 / $96.09 / $162.41	Professional	TC	$77.78	$96.09	$162.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $134.75 / $148.08 / $207.17	Professional		$134.75	$148.08	$207.17
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $42.74 / $47.27 / $67.64	Professional	26	$42.74	$47.27	$67.64
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $86.66 / $105.15 / $139.51	Professional	TC	$86.66	$105.15	$139.51
United Facility/Professional Professional Modifier Low / Median / High Price $130.83 / $223.97 / $290.12	Professional		$130.83	$223.97	$290.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.00 / $68.25 / $88.33	Professional	26	$54.00	$68.25	$88.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.16 / $158.08 / $204.41	Professional	TC	$87.16	$158.08	$204.41