Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $69.73 / $69.73	Facility		$69.73	$69.73	$69.73
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.57 / $19.59 / $19.59	Facility	26	$19.57	$19.59	$19.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $118.81 / $153.12	Professional		$69.73	$118.81	$153.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.73 / $19.57 / $28.45	Professional	26	$16.73	$19.57	$28.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.16 / $91.68 / $134.71	Professional	TC	$50.16	$91.68	$134.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $80.56 / $121.26	Professional		$64.05	$80.56	$121.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.47 / $22.43 / $33.07	Professional	26	$17.47	$22.43	$33.07
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.58 / $58.14 / $88.19	Professional	TC	$46.58	$58.14	$88.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.68 / $118.76 / $188.11	Professional		$81.68	$118.76	$188.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.55 / $28.53 / $43.14	Professional	26	$20.55	$28.53	$43.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.18 / $92.13 / $137.08	Professional	TC	$58.18	$92.13	$137.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $85.70 / $144.87	Professional		$69.38	$85.70	$144.87
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $18.92 / $23.37 / $39.51	Professional	26	$18.92	$23.37	$39.51
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $50.46 / $62.33 / $128.86	Professional	TC	$50.46	$62.33	$128.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $118.81 / $174.55	Professional		$69.73	$118.81	$174.55
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $16.73 / $19.59 / $29.48	Professional	26	$16.73	$19.59	$29.48
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $50.15 / $90.34 / $154.11	Professional	TC	$50.15	$90.34	$154.11
United Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $157.34 / $211.80	Professional		$67.84	$157.34	$211.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.13 / $28.49 / $39.51	Professional	26	$21.13	$28.49	$39.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.72 / $138.62 / $164.29	Professional	TC	$48.72	$138.62	$164.29