Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.95 / $99.95 / $115.33	Facility	26	$99.95	$99.95	$115.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.99 / $402.07 / $472.01	Professional		$303.99	$402.07	$472.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.65 / $88.11 / $142.66	Professional	26	$75.65	$88.11	$142.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.08 / $310.24 / $380.79	Professional	TC	$206.08	$310.24	$380.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.31 / $373.73 / $550.80	Professional		$281.31	$373.73	$550.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $86.58 / $112.05 / $170.01	Professional	26	$86.58	$112.05	$170.01
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $188.76 / $252.01 / $411.90	Professional	TC	$188.76	$252.01	$411.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.90 / $547.63 / $888.52	Professional		$359.90	$547.63	$888.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.05 / $131.25 / $185.52	Professional	26	$84.05	$131.25	$185.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $252.52 / $389.70 / $706.17	Professional	TC	$252.52	$389.70	$706.17
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $372.00 / $372.00 / $372.00	Professional		$372.00	$372.00	$372.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $347.07 / $417.65 / $753.42	Professional		$347.07	$417.65	$753.42
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $101.40 / $122.02 / $220.12	Professional	26	$101.40	$122.02	$220.12
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $245.67 / $295.63 / $533.29	Professional	TC	$245.67	$295.63	$533.29
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $94.71 / $99.95 / $2,075.94	Facility	26	$94.71	$99.95	$2,075.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $306.01 / $402.07 / $566.29	Professional		$306.01	$402.07	$566.29
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $80.31 / $99.95 / $181.91	Professional	26	$80.31	$99.95	$181.91
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $206.08 / $300.57 / $386.24	Professional	TC	$206.08	$300.57	$386.24
United Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $423.43 / $748.17	Professional		$301.35	$423.43	$748.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.32 / $124.69 / $206.23	Professional	26	$86.32	$124.69	$206.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $211.85 / $304.18 / $527.92	Professional	TC	$211.85	$304.18	$527.92