Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $602.56	Professional		$251.19	$398.11	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $112.20 / $165.96	Professional	26	$57.54	$112.20	$165.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $281.84 / $501.19	Professional	TC	$186.21	$281.84	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $331.13 / $851.14	Professional		$223.87	$331.13	$851.14
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $79.43 / $186.21	Professional	26	$54.95	$79.43	$186.21
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $251.19 / $645.65	Professional	TC	$169.82	$251.19	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $549.54 / $1,023.29	Professional		$302.00	$549.54	$1,023.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $75.86 / $158.49	Professional	26	$57.54	$75.86	$158.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $416.87 / $891.25	Professional	TC	$218.78	$416.87	$891.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $676.08	Professional		$275.42	$346.74	$676.08
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $85.11 / $158.49	Professional	26	$66.07	$85.11	$158.49
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $263.03 / $512.86	Professional	TC	$208.93	$263.03	$512.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $478.63 / $1,023.29	Professional		$281.84	$478.63	$1,023.29
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $117.49 / $190.55	Professional	26	$64.57	$117.49	$190.55
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $338.84 / $691.83	Professional	TC	$218.78	$338.84	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $467.74 / $870.96	Professional		$239.88	$467.74	$870.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $85.11 / $154.88	Professional	26	$58.88	$85.11	$154.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $363.08 / $660.69	Professional	TC	$181.97	$363.08	$660.69