Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.09 / $117.09 / $167.00	Facility	26	$117.09	$117.09	$167.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.19 / $475.00 / $631.59	Professional		$379.19	$475.00	$631.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.15 / $140.00 / $167.00	Professional	26	$111.15	$140.00	$167.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $292.10 / $348.53 / $501.95	Professional	TC	$292.10	$348.53	$501.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.28 / $494.72 / $727.04	Professional		$382.28	$494.72	$727.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.02 / $115.20 / $174.85	Professional	26	$89.02	$115.20	$174.85
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $290.58 / $378.69 / $552.19	Professional	TC	$290.58	$378.69	$552.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.46 / $715.42 / $1,307.26	Professional		$463.46	$715.42	$1,307.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.34 / $135.12 / $191.63	Professional	26	$86.34	$135.12	$191.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $352.58 / $558.59 / $1,143.70	Professional	TC	$352.58	$558.59	$1,143.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $433.63 / $521.82 / $941.32	Professional		$433.63	$521.82	$941.32
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $104.29 / $125.50 / $226.39	Professional	26	$104.29	$125.50	$226.39
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $329.35 / $396.32 / $714.95	Professional	TC	$329.35	$396.32	$714.95
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $117.09 / $117.09 / $117.09	Facility	26	$117.09	$117.09	$117.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $420.04 / $593.23 / $1,016.00	Professional		$420.04	$593.23	$1,016.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $104.62 / $146.15 / $210.02	Professional	26	$104.62	$146.15	$210.02
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $311.64 / $433.00 / $702.45	Professional	TC	$311.64	$433.00	$702.45
United Facility/Professional Professional Modifier Low / Median / High Price $395.09 / $812.81 / $983.77	Professional		$395.09	$812.81	$983.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.11 / $128.72 / $212.97	Professional	26	$89.11	$128.72	$212.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $303.51 / $684.09 / $825.63	Professional	TC	$303.51	$684.09	$825.63