Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.49 / $349.43 / $421.73	Professional		$201.49	$349.43	$421.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.97 / $64.29 / $75.09	Professional	26	$60.97	$64.29	$75.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $140.01 / $288.44 / $354.04	Professional	TC	$140.01	$288.44	$354.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.32 / $258.30 / $387.02	Professional		$192.32	$258.30	$387.02
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.42 / $81.45 / $123.02	Professional	26	$58.42	$81.45	$123.02
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $128.13 / $176.85 / $264.00	Professional	TC	$128.13	$176.85	$264.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.32 / $363.98 / $650.19	Professional		$245.32	$363.98	$650.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.61 / $97.70 / $134.87	Professional	26	$64.61	$97.70	$134.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $167.43 / $249.76 / $475.19	Professional	TC	$167.43	$249.76	$475.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $230.83 / $277.77 / $501.09	Professional		$230.83	$277.77	$501.09
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $73.37 / $88.29 / $159.27	Professional	26	$73.37	$88.29	$159.27
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $157.46 / $189.49 / $341.81	Professional	TC	$157.46	$189.49	$341.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $211.58 / $349.43 / $430.29	Professional		$211.58	$349.43	$430.29
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $60.97 / $70.12 / $131.61	Professional	26	$60.97	$70.12	$131.61
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $147.58 / $266.49 / $354.04	Professional	TC	$147.58	$266.49	$354.04
United Facility/Professional Professional Modifier Low / Median / High Price $191.68 / $290.58 / $480.89	Professional		$191.68	$290.58	$480.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.26 / $100.05 / $160.01	Professional	26	$64.26	$100.05	$160.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.83 / $208.09 / $353.55	Professional	TC	$141.83	$208.09	$353.55