Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.20 / $167.00 / $167.00	Facility	26	$96.20	$167.00	$167.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $475.00 / $606.46	Professional		$370.50	$475.00	$606.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.40 / $140.00 / $167.00	Professional	26	$106.40	$140.00	$167.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $290.68 / $335.00 / $500.05	Professional	TC	$290.68	$335.00	$500.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.63 / $471.87 / $693.86	Professional		$364.63	$471.87	$693.86
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.02 / $94.50 / $143.75	Professional	26	$73.02	$94.50	$143.75
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $289.17 / $376.40 / $550.12	Professional	TC	$289.17	$376.40	$550.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.70 / $682.92 / $1,307.26	Professional		$440.70	$682.92	$1,307.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.47 / $112.82 / $171.21	Professional	26	$82.47	$112.82	$171.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $350.14 / $554.71 / $1,136.44	Professional	TC	$350.14	$554.71	$1,136.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $413.85 / $498.01 / $898.39	Professional		$413.85	$498.01	$898.39
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $85.74 / $103.18 / $186.12	Professional	26	$85.74	$103.18	$186.12
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $328.11 / $394.83 / $712.26	Professional	TC	$328.11	$394.83	$712.26
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $96.20 / $96.20 / $96.20	Facility	26	$96.20	$96.20	$96.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $402.00 / $588.25 / $1,016.00	Professional		$402.00	$588.25	$1,016.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $77.22 / $140.00 / $167.00	Professional	26	$77.22	$140.00	$167.00
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $297.50 / $433.00 / $555.37	Professional	TC	$297.50	$433.00	$555.37
United Facility/Professional Professional Modifier Low / Median / High Price $347.34 / $808.04 / $975.22	Professional		$347.34	$808.04	$975.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.38 / $127.81 / $175.36	Professional	26	$73.38	$127.81	$175.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $273.95 / $679.32 / $857.86	Professional	TC	$273.95	$679.32	$857.86