Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.45 / $36.45 / $36.45	Facility	26	$36.45	$36.45	$36.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $79.45 / $170.34	Professional		$64.31	$79.45	$170.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.26 / $34.82 / $52.98	Professional	26	$31.26	$34.82	$52.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.03 / $42.12 / $117.35	Professional	TC	$33.03	$42.12	$117.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.33 / $121.52 / $186.17	Professional		$98.33	$121.52	$186.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.67 / $41.94 / $61.85	Professional	26	$32.67	$41.94	$61.85
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $65.66 / $75.44 / $124.32	Professional	TC	$65.66	$75.44	$124.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $143.47 / $238.21	Professional		$70.98	$143.47	$238.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.31 / $53.08 / $78.31	Professional	26	$38.31	$53.08	$78.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.12 / $104.38 / $165.89	Professional	TC	$44.12	$104.38	$165.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $106.51 / $126.56 / $222.41	Professional		$106.51	$126.56	$222.41
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $35.39 / $43.71 / $73.89	Professional	26	$35.39	$43.71	$73.89
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $71.13 / $87.86 / $148.52	Professional	TC	$71.13	$87.86	$148.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $98.51 / $170.34	Professional		$64.31	$98.51	$170.34
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $31.26 / $36.45 / $54.94	Professional	26	$31.26	$36.45	$54.94
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $33.03 / $62.07 / $117.35	Professional	TC	$33.03	$62.07	$117.35
United Facility/Professional Professional Modifier Low / Median / High Price $104.10 / $134.94 / $272.02	Professional		$104.10	$134.94	$272.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.92 / $49.04 / $75.44	Professional	26	$38.92	$49.04	$75.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.44 / $75.75 / $144.75	Professional	TC	$58.44	$75.75	$144.75