Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $93.33 / $93.33	Facility	26	$93.33	$93.33	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $676.08	Professional		$218.78	$288.40	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $85.11 / $213.80	Professional	26	$61.66	$85.11	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $213.80 / $416.87	Professional	TC	$151.36	$213.80	$416.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $323.59 / $812.83	Professional		$218.78	$323.59	$812.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $107.15 / $223.87	Professional	26	$74.13	$107.15	$223.87
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $208.93 / $512.86	Professional	TC	$144.54	$208.93	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $407.38 / $691.83	Professional		$245.47	$407.38	$691.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $107.15 / $208.93	Professional	26	$69.18	$107.15	$208.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $295.12 / $489.78	Professional	TC	$165.96	$295.12	$489.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $338.84 / $660.69	Professional		$263.03	$338.84	$660.69
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $112.20 / $208.93	Professional	26	$89.13	$112.20	$208.93
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $223.87 / $416.87	Professional	TC	$177.83	$223.87	$416.87
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $93.33 / $93.33	Facility	26	$93.33	$93.33	$93.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $794.33	Professional		$251.19	$354.81	$794.33
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $104.71 / $218.78	Professional	26	$70.79	$104.71	$218.78
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $275.42 / $588.84	Professional	TC	$169.82	$275.42	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $380.19 / $691.83	Professional		$229.09	$380.19	$691.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $107.15 / $208.93	Professional	26	$79.43	$107.15	$208.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $275.42 / $501.19	Professional	TC	$151.36	$275.42	$501.19