Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $407.38 / $676.08	Professional		$338.84	$407.38	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $128.82 / $199.53	Professional	26	$107.15	$128.82	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $288.40 / $467.74	Professional	TC	$239.88	$288.40	$467.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $512.86 / $691.83	Professional		$281.84	$512.86	$691.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $158.49 / $213.80	Professional	26	$97.72	$158.49	$213.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $354.81 / $501.19	Professional	TC	$186.21	$354.81	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $512.86 / $776.25	Professional		$380.19	$512.86	$776.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.83 / $154.88 / $234.42	Professional	26	$131.83	$154.88	$234.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $371.54 / $537.03	Professional	TC	$239.88	$371.54	$537.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $489.78 / $741.31	Professional		$407.38	$489.78	$741.31
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $131.83 / $158.49 / $223.87	Professional	26	$131.83	$158.49	$223.87
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $331.13 / $537.03	Professional	TC	$281.84	$331.13	$537.03
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $676.08	Professional		$354.81	$446.68	$676.08
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $134.90 / $204.17	Professional	26	$109.65	$134.90	$204.17
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $309.03 / $478.63	Professional	TC	$239.88	$309.03	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $831.76	Professional		$316.23	$446.68	$831.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $151.36 / $229.09	Professional	26	$117.49	$151.36	$229.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $302.00 / $537.03	Professional	TC	$208.93	$302.00	$537.03