Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $512.86	Professional		$151.36	$223.87	$512.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $77.62 / $186.21	Professional	26	$56.23	$77.62	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $128.82 / $316.23	Professional	TC	$97.72	$128.82	$316.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $537.03	Professional		$151.36	$218.78	$537.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $85.11 / $199.53	Professional	26	$58.88	$85.11	$199.53
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $131.83 / $338.84	Professional	TC	$91.20	$131.83	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $288.40 / $512.86	Professional		$165.96	$288.40	$512.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $89.13 / $173.78	Professional	26	$61.66	$89.13	$173.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $190.55 / $371.54	Professional	TC	$102.33	$190.55	$371.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $446.68	Professional		$181.97	$229.09	$446.68
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $89.13 / $173.78	Professional	26	$70.79	$89.13	$173.78
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $138.04 / $275.42	Professional	TC	$109.65	$138.04	$275.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $537.03	Professional		$169.82	$257.04	$537.03
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $87.10 / $181.97	Professional	26	$58.88	$87.10	$181.97
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $162.18 / $323.59	Professional	TC	$104.71	$162.18	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $263.03 / $467.74	Professional		$154.88	$263.03	$467.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $91.20 / $165.96	Professional	26	$63.10	$91.20	$165.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $173.78 / $316.23	Professional	TC	$91.20	$173.78	$316.23