Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.01 / $372.51 / $444.40	Professional		$319.01	$372.51	$444.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.67 / $108.55 / $123.54	Professional	26	$87.67	$108.55	$123.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $231.34 / $263.95 / $320.86	Professional	TC	$231.34	$263.95	$320.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.05 / $396.62 / $572.90	Professional		$332.05	$396.62	$572.90
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.13 / $111.92 / $170.24	Professional	26	$95.13	$111.92	$170.24
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $230.48 / $276.85 / $415.22	Professional	TC	$230.48	$276.85	$415.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.73 / $474.50 / $679.81	Professional		$378.73	$474.50	$679.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.83 / $129.22 / $180.59	Professional	26	$106.83	$129.22	$180.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $276.64 / $348.45 / $499.22	Professional	TC	$276.64	$348.45	$499.22
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $308.08 / $396.79 / $608.70	Professional		$308.08	$396.79	$608.70
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $92.58 / $119.23 / $182.90	Professional	26	$92.58	$119.23	$182.90
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $215.51 / $277.56 / $425.80	Professional	TC	$215.51	$277.56	$425.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $319.01 / $372.51 / $444.40	Professional		$319.01	$372.51	$444.40
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $87.67 / $108.55 / $123.54	Professional	26	$87.67	$108.55	$123.54
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $231.34 / $263.95 / $320.86	Professional	TC	$231.34	$263.95	$320.86
United Facility/Professional Professional Modifier Low / Median / High Price $334.77 / $396.77 / $613.66	Professional		$334.77	$396.77	$613.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $109.41 / $134.66 / $165.40	Professional	26	$109.41	$134.66	$165.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $221.15 / $285.45 / $448.27	Professional	TC	$221.15	$285.45	$448.27