Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $165.96 / $165.96 / $165.96	Facility	26	$165.96	$165.96	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $1,445.44	Professional		$295.12	$457.09	$1,445.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $117.49 / $218.78	Professional	26	$70.79	$117.49	$218.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $302.00 / $660.69	Professional	TC	$204.17	$302.00	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $977.24	Professional		$257.04	$389.05	$977.24
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $100.00 / $229.09	Professional	26	$66.07	$100.00	$229.09
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $281.84 / $741.31	Professional	TC	$190.55	$281.84	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $549.54 / $977.24	Professional		$363.08	$549.54	$977.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $93.33 / $194.98	Professional	26	$70.79	$93.33	$194.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $426.58 / $758.58	Professional	TC	$245.47	$426.58	$758.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $398.11 / $776.25	Professional		$316.23	$398.11	$776.25
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $102.33 / $190.55	Professional	26	$81.28	$102.33	$190.55
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $295.12 / $575.44	Professional	TC	$234.42	$295.12	$575.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $524.81 / $1,096.48	Professional		$338.84	$524.81	$1,096.48
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $138.04 / $223.87	Professional	26	$85.11	$138.04	$223.87
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $371.54 / $741.31	Professional	TC	$245.47	$371.54	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $446.68 / $870.96	Professional		$288.40	$446.68	$870.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $104.71 / $190.55	Professional	26	$72.44	$104.71	$190.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $331.13 / $660.69	Professional	TC	$213.80	$331.13	$660.69