Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.20 / $72.20 / $72.20	Facility	26	$72.20	$72.20	$72.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.57 / $368.37 / $423.62	Professional		$239.57	$368.37	$423.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.13 / $69.00 / $90.99	Professional	26	$61.13	$69.00	$90.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $185.86 / $289.73 / $318.11	Professional	TC	$185.86	$289.73	$318.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.32 / $301.95 / $441.61	Professional		$233.32	$301.95	$441.61
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.18 / $81.77 / $123.02	Professional	26	$63.18	$81.77	$123.02
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $166.15 / $220.17 / $318.60	Professional	TC	$166.15	$220.17	$318.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.08 / $415.73 / $689.72	Professional		$287.08	$415.73	$689.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.31 / $97.77 / $137.29	Professional	26	$69.31	$97.77	$137.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $209.90 / $307.58 / $490.00	Professional	TC	$209.90	$307.58	$490.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $263.39 / $316.95 / $571.79	Professional		$263.39	$316.95	$571.79
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $73.37 / $88.29 / $169.23	Professional	26	$73.37	$88.29	$169.23
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $190.02 / $231.82 / $438.28	Professional	TC	$190.02	$231.82	$438.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $254.22 / $335.31 / $453.33	Professional		$254.22	$335.31	$453.33
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $62.17 / $72.20 / $131.61	Professional	26	$62.17	$72.20	$131.61
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $188.15 / $239.33 / $375.83	Professional	TC	$188.15	$239.33	$375.83
United Facility/Professional Professional Modifier Low / Median / High Price $263.39 / $451.18 / $624.91	Professional		$263.39	$451.18	$624.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.59 / $106.77 / $159.12	Professional	26	$64.59	$106.77	$159.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.94 / $306.56 / $443.38	Professional	TC	$186.94	$306.56	$443.38