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 $302.87 / $402.07 / $472.01	Professional		$302.87	$402.07	$472.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.65 / $88.11 / $143.05	Professional	26	$75.65	$88.11	$143.05
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 / $373.29 / $581.22	Professional		$281.31	$373.29	$581.22
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 / $411.20	Professional	TC	$188.76	$252.01	$411.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.50 / $546.98 / $887.47	Professional		$359.50	$546.98	$887.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.40 / $121.51 / $185.52	Professional	26	$84.40	$121.51	$185.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $252.12 / $389.05 / $709.22	Professional	TC	$252.12	$389.05	$709.22
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 $346.66 / $417.15 / $752.53	Professional		$346.66	$417.15	$752.53
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 $245.26 / $295.13 / $532.41	Professional	TC	$245.26	$295.13	$532.41
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 $278.58 / $415.43 / $747.27	Professional		$278.58	$415.43	$747.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $88.45 / $124.69 / $206.23	Professional	26	$88.45	$124.69	$206.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $192.27 / $283.69 / $527.03	Professional	TC	$192.27	$283.69	$527.03