Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.26 / $167.00 / $167.00	Facility	26	$78.26	$167.00	$167.00
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 $79.31 / $140.00 / $167.00	Professional	26	$79.31	$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 $238.96 / $309.25 / $454.74	Professional		$238.96	$309.25	$454.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.46 / $76.95 / $116.80	Professional	26	$59.46	$76.95	$116.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $177.78 / $231.59 / $337.95	Professional	TC	$177.78	$231.59	$337.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.54 / $447.96 / $943.28	Professional		$290.54	$447.96	$943.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.20 / $90.39 / $128.00	Professional	26	$57.20	$90.39	$128.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $220.81 / $343.30 / $693.79	Professional	TC	$220.81	$343.30	$693.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $271.23 / $326.39 / $588.79	Professional		$271.23	$326.39	$588.79
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $69.66 / $83.83 / $151.22	Professional	26	$69.66	$83.83	$151.22
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $201.57 / $242.55 / $437.57	Professional	TC	$201.57	$242.55	$437.57
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $78.26 / $78.26 / $78.26	Facility	26	$78.26	$78.26	$78.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $262.30 / $475.00 / $767.00	Professional		$262.30	$475.00	$767.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $63.51 / $140.00 / $167.00	Professional	26	$63.51	$140.00	$167.00
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $199.40 / $341.06 / $433.00	Professional	TC	$199.40	$341.06	$433.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.77 / $530.92 / $640.78	Professional		$230.77	$530.92	$640.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.01 / $86.39 / $142.25	Professional	26	$61.01	$86.39	$142.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $171.25 / $439.55 / $536.90	Professional	TC	$171.25	$439.55	$536.90