Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $165.96 / $165.96 / $165.96	Facility	26	$165.96	$165.96	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $1,096.48	Professional		$269.15	$426.58	$1,096.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $117.49 / $186.21	Professional	26	$72.44	$117.49	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $295.12 / $660.69	Professional	TC	$194.98	$295.12	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $912.01	Professional		$245.47	$363.08	$912.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $100.00 / $208.93	Professional	26	$69.18	$100.00	$208.93
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $263.03 / $660.69	Professional	TC	$177.83	$263.03	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $562.34 / $1,023.29	Professional		$331.13	$562.34	$1,023.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $91.20 / $199.53	Professional	26	$57.54	$91.20	$199.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $416.87 / $912.01	Professional	TC	$234.42	$416.87	$912.01
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $371.54 / $741.31	Professional		$295.12	$371.54	$741.31
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $104.71 / $194.98	Professional	26	$83.18	$104.71	$194.98
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $269.15 / $537.03	Professional	TC	$213.80	$269.15	$537.03
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $489.78 / $1,096.48	Professional		$302.00	$489.78	$1,096.48
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $123.03 / $218.78	Professional	26	$79.43	$123.03	$218.78
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $338.84 / $870.96	Professional	TC	$223.87	$338.84	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $501.19 / $933.25	Professional		$257.04	$501.19	$933.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $91.20 / $190.55	Professional	26	$69.18	$91.20	$190.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $380.19 / $676.08	Professional	TC	$181.97	$380.19	$676.08