Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.62 / $134.62 / $134.62	Facility	26	$134.62	$134.62	$134.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.81 / $452.35 / $568.13	Professional		$312.81	$452.35	$568.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.87 / $134.62 / $165.86	Professional	26	$105.87	$134.62	$165.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.93 / $317.73 / $410.83	Professional	TC	$206.93	$317.73	$410.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.38 / $479.73 / $693.72	Professional		$399.38	$479.73	$693.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $117.25 / $137.94 / $208.36	Professional	26	$117.25	$137.94	$208.36
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $278.93 / $335.05 / $499.78	Professional	TC	$278.93	$335.05	$499.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.43 / $576.84 / $826.42	Professional		$411.43	$576.84	$826.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $130.58 / $160.26 / $222.15	Professional	26	$130.58	$160.26	$222.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $274.58 / $421.78 / $604.27	Professional	TC	$274.58	$421.78	$604.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $376.22 / $484.55 / $743.33	Professional		$376.22	$484.55	$743.33
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $113.31 / $145.93 / $223.87	Professional	26	$113.31	$145.93	$223.87
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $262.91 / $338.61 / $519.44	Professional	TC	$262.91	$338.61	$519.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $312.81 / $452.35 / $642.44	Professional		$312.81	$452.35	$642.44
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $105.87 / $134.62 / $189.69	Professional	26	$105.87	$134.62	$189.69
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $206.93 / $317.73 / $452.77	Professional	TC	$206.93	$317.73	$452.77
United Facility/Professional Professional Modifier Low / Median / High Price $379.91 / $429.95 / $742.95	Professional		$379.91	$429.95	$742.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $126.13 / $149.52 / $223.87	Professional	26	$126.13	$149.52	$223.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $229.05 / $309.44 / $539.66	Professional	TC	$229.05	$309.44	$539.66