Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.65 / $71.39 / $75.93	Facility	26	$66.65	$71.39	$75.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.32 / $282.66 / $340.67	Professional		$201.32	$282.66	$340.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.67 / $62.68 / $98.76	Professional	26	$53.67	$62.68	$98.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $148.26 / $219.14 / $281.04	Professional	TC	$148.26	$219.14	$281.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.48 / $236.15 / $351.08	Professional		$182.48	$236.15	$351.08
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.16 / $74.45 / $113.34	Professional	26	$57.16	$74.45	$113.34
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $123.49 / $161.71 / $237.74	Professional	TC	$123.49	$161.71	$237.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.35 / $330.24 / $537.33	Professional		$220.35	$330.24	$537.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.08 / $90.52 / $123.18	Professional	26	$59.08	$90.52	$123.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $148.68 / $224.87 / $409.00	Professional	TC	$148.68	$224.87	$409.00
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $233.27 / $233.27 / $233.27	Professional		$233.27	$233.27	$233.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $209.40 / $251.98 / $454.57	Professional		$209.40	$251.98	$454.57
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $67.59 / $81.34 / $146.75	Professional	26	$67.59	$81.34	$146.75
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $141.80 / $170.63 / $307.82	Professional	TC	$141.80	$170.63	$307.82
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $63.19 / $71.39 / $76.90	Facility	26	$63.19	$71.39	$76.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $201.32 / $280.62 / $373.69	Professional		$201.32	$280.62	$373.69
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $56.58 / $71.39 / $121.29	Professional	26	$56.58	$71.39	$121.29
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $134.85 / $187.63 / $285.08	Professional	TC	$134.85	$187.63	$285.08
United Facility/Professional Professional Modifier Low / Median / High Price $198.66 / $311.52 / $463.19	Professional		$198.66	$311.52	$463.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.88 / $89.10 / $147.31	Professional	26	$63.88	$89.10	$147.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $135.33 / $222.43 / $315.88	Professional	TC	$135.33	$222.43	$315.88