Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $140.31 / $167.00 / $167.00	Facility	26	$140.31	$167.00	$167.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.67 / $475.00 / $611.94	Professional		$372.67	$475.00	$611.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.15 / $141.82 / $167.00	Professional	26	$111.15	$141.82	$167.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $268.99 / $335.00 / $456.99	Professional	TC	$268.99	$335.00	$456.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.69 / $488.78 / $712.52	Professional		$377.69	$488.78	$712.52
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $105.71 / $136.80 / $210.09	Professional	26	$105.71	$136.80	$210.09
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $265.61 / $351.27 / $502.43	Professional	TC	$265.61	$351.27	$502.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.15 / $711.64 / $1,251.86	Professional		$463.15	$711.64	$1,251.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.63 / $160.47 / $227.27	Professional	26	$102.63	$160.47	$227.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $331.20 / $490.75 / $1,093.77	Professional	TC	$331.20	$490.75	$1,093.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $424.98 / $511.41 / $922.55	Professional		$424.98	$511.41	$922.55
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $125.31 / $150.79 / $272.02	Professional	26	$125.31	$150.79	$272.02
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $299.67 / $360.61 / $650.52	Professional	TC	$299.67	$360.61	$650.52
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $140.31 / $140.31 / $140.31	Facility	26	$140.31	$140.31	$140.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $409.30 / $600.00 / $1,016.00	Professional		$409.30	$600.00	$1,016.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $112.55 / $165.91 / $250.07	Professional	26	$112.55	$165.91	$250.07
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $296.76 / $420.43 / $631.87	Professional	TC	$296.76	$420.43	$631.87
United Facility/Professional Professional Modifier Low / Median / High Price $394.82 / $666.28 / $983.10	Professional		$394.82	$666.28	$983.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $108.31 / $153.27 / $269.69	Professional	26	$108.31	$153.27	$269.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $286.19 / $513.01 / $668.02	Professional	TC	$286.19	$513.01	$668.02