Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $439.93 / $446.41 / $644.74	Professional		$439.93	$446.41	$644.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $136.88 / $136.88 / $193.26	Professional	26	$136.88	$136.88	$193.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $287.89 / $309.52 / $451.48	Professional	TC	$287.89	$309.52	$451.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.69 / $471.69 / $698.17	Professional		$392.69	$471.69	$698.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $119.59 / $140.69 / $213.14	Professional	26	$119.59	$140.69	$213.14
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $274.08 / $329.22 / $499.15	Professional	TC	$274.08	$329.22	$499.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.82 / $572.28 / $819.90	Professional		$407.82	$572.28	$819.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $133.09 / $162.96 / $226.13	Professional	26	$133.09	$162.96	$226.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $267.56 / $414.44 / $593.76	Professional	TC	$267.56	$414.44	$593.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $378.08 / $486.94 / $746.98	Professional		$378.08	$486.94	$746.98
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $115.90 / $149.28 / $229.00	Professional	26	$115.90	$149.28	$229.00
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $262.17 / $337.66 / $517.99	Professional	TC	$262.17	$337.66	$517.99
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $439.93 / $446.41 / $644.74	Professional		$439.93	$446.41	$644.74
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $136.88 / $136.88 / $193.26	Professional	26	$136.88	$136.88	$193.26
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $287.89 / $309.52 / $451.48	Professional	TC	$287.89	$309.52	$451.48
United Facility/Professional Professional Modifier Low / Median / High Price $314.50 / $442.21 / $746.80	Professional		$314.50	$442.21	$746.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $129.02 / $157.97 / $207.81	Professional	26	$129.02	$157.97	$207.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $223.14 / $301.55 / $538.99	Professional	TC	$223.14	$301.55	$538.99