Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $475.00 / $600.00	Professional		$370.50	$475.00	$600.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.06 / $140.00 / $167.00	Professional	26	$79.06	$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 $251.32 / $325.24 / $478.93	Professional		$251.32	$325.24	$478.93
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.19 / $76.95 / $116.10	Professional	26	$55.19	$76.95	$116.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $191.66 / $248.03 / $362.83	Professional	TC	$191.66	$248.03	$362.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.39 / $469.94 / $943.28	Professional		$304.39	$469.94	$943.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.56 / $89.85 / $127.23	Professional	26	$57.56	$89.85	$127.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $230.92 / $365.92 / $730.00	Professional	TC	$230.92	$365.92	$730.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $285.64 / $343.74 / $620.09	Professional		$285.64	$343.74	$620.09
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 $216.41 / $260.41 / $469.78	Professional	TC	$216.41	$260.41	$469.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $279.94 / $475.00 / $1,016.00	Professional		$279.94	$475.00	$1,016.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $70.97 / $140.00 / $167.00	Professional	26	$70.97	$140.00	$167.00
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $208.97 / $335.00 / $433.00	Professional	TC	$208.97	$335.00	$433.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.97 / $522.35 / $646.54	Professional		$239.97	$522.35	$646.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.19 / $85.61 / $141.41	Professional	26	$59.19	$85.61	$141.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $180.78 / $436.74 / $564.75	Professional	TC	$180.78	$436.74	$564.75