Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $95.50 / $95.50	Facility	26	$95.50	$95.50	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $870.96	Professional		$363.08	$478.63	$870.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $125.89 / $257.04	Professional	26	$70.79	$125.89	$257.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $338.84 / $707.95	Professional	TC	$263.03	$338.84	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $489.78 / $1,230.27	Professional		$331.13	$489.78	$1,230.27
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $100.00 / $234.42	Professional	26	$67.61	$100.00	$234.42
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $380.19 / $977.24	Professional	TC	$257.04	$380.19	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $912.01 / $1,584.89	Professional		$436.52	$912.01	$1,584.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $104.71 / $199.53	Professional	26	$70.79	$104.71	$199.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $776.25 / $1,380.38	Professional	TC	$338.84	$776.25	$1,380.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $977.24	Professional		$398.11	$501.19	$977.24
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $104.71 / $194.98	Professional	26	$81.28	$104.71	$194.98
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $398.11 / $776.25	Professional	TC	$316.23	$398.11	$776.25
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $95.50 / $95.50	Facility	26	$95.50	$95.50	$95.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $602.56 / $1,258.93	Professional		$371.54	$602.56	$1,258.93
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $138.04 / $257.04	Professional	26	$85.11	$138.04	$257.04
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $436.52 / $1,071.52	Professional	TC	$275.42	$436.52	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $691.83 / $1,258.93	Professional		$346.74	$691.83	$1,258.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $123.03 / $190.55	Professional	26	$74.13	$123.03	$190.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $549.54 / $1,023.29	Professional	TC	$275.42	$549.54	$1,023.29