Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.79 / $167.00 / $167.00	Facility	26	$77.79	$167.00	$167.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.22 / $475.00 / $600.00	Professional		$369.22	$475.00	$600.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.59 / $140.00 / $167.00	Professional	26	$79.59	$140.00	$167.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.35 / $335.00 / $433.00	Professional	TC	$259.35	$335.00	$433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.26 / $308.33 / $453.36	Professional		$238.26	$308.33	$453.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.46 / $76.95 / $116.10	Professional	26	$59.46	$76.95	$116.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $177.43 / $230.68 / $337.26	Professional	TC	$177.43	$230.68	$337.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.32 / $446.02 / $943.28	Professional		$289.32	$446.02	$943.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.56 / $89.85 / $128.00	Professional	26	$57.56	$89.85	$128.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $219.93 / $342.00 / $695.32	Professional	TC	$219.93	$342.00	$695.32
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $270.39 / $317.23 / $586.98	Professional		$270.39	$317.23	$586.98
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $69.25 / $83.33 / $150.33	Professional	26	$69.25	$83.33	$150.33
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $201.15 / $242.05 / $436.66	Professional	TC	$201.15	$242.05	$436.66
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $77.79 / $77.79 / $77.79	Facility	26	$77.79	$77.79	$77.79
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $261.48 / $475.00 / $732.52	Professional		$261.48	$475.00	$732.52
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $68.75 / $140.00 / $167.00	Professional	26	$68.75	$140.00	$167.00
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $198.99 / $335.00 / $433.00	Professional	TC	$198.99	$335.00	$433.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.45 / $529.02 / $737.10	Professional		$248.45	$529.02	$737.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.19 / $86.07 / $141.41	Professional	26	$59.19	$86.07	$141.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $187.67 / $442.95 / $553.54	Professional	TC	$187.67	$442.95	$553.54