Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.71 / $144.71 / $144.71	Facility		$144.71	$144.71	$144.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.13 / $208.74 / $280.88	Professional		$140.13	$208.74	$280.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.96 / $51.53 / $60.16	Professional	26	$41.96	$51.53	$60.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $98.17 / $157.19 / $220.72	Professional	TC	$98.17	$157.19	$220.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.94 / $240.33 / $339.11	Professional		$203.94	$240.33	$339.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.03 / $52.98 / $79.66	Professional	26	$45.03	$52.98	$79.66
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $148.05 / $182.24 / $259.44	Professional	TC	$148.05	$182.24	$259.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.88 / $323.97 / $442.32	Professional		$238.88	$323.97	$442.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.97 / $68.29 / $102.53	Professional	26	$51.97	$68.29	$102.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $178.55 / $249.30 / $357.17	Professional	TC	$178.55	$249.30	$357.17
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $184.41 / $237.51 / $364.35	Professional		$184.41	$237.51	$364.35
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $43.33 / $55.80 / $85.60	Professional	26	$43.33	$55.80	$85.60
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $141.08 / $158.62 / $278.75	Professional	TC	$141.08	$158.62	$278.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $144.71 / $144.71 / $144.71	Facility		$144.71	$144.71	$144.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $152.68 / $208.74 / $315.70	Professional		$152.68	$208.74	$315.70
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $41.96 / $51.53 / $72.50	Professional	26	$41.96	$51.53	$72.50
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $108.87 / $157.19 / $243.20	Professional	TC	$108.87	$157.19	$243.20
United Facility/Professional Professional Modifier Low / Median / High Price $146.66 / $184.66 / $363.15	Professional		$146.66	$184.66	$363.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $57.22 / $77.83	Professional	26	$51.30	$57.22	$77.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $92.48 / $115.60 / $309.24	Professional	TC	$92.48	$115.60	$309.24