Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.75 / $347.48 / $419.58	Professional		$265.75	$347.48	$419.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.34 / $65.91 / $91.27	Professional	26	$59.34	$65.91	$91.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.00 / $288.12 / $353.66	Professional	TC	$187.00	$288.12	$353.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $280.94 / $412.59	Professional		$217.09	$280.94	$412.59
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.11 / $80.84 / $121.63	Professional	26	$62.11	$80.84	$121.63
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $151.35 / $200.09 / $290.95	Professional	TC	$151.35	$200.09	$290.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.72 / $389.15 / $646.47	Professional		$260.72	$389.15	$646.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.27 / $96.65 / $133.34	Professional	26	$66.27	$96.65	$133.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $184.15 / $275.30 / $510.00	Professional	TC	$184.15	$275.30	$510.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $246.08 / $296.13 / $534.19	Professional		$246.08	$296.13	$534.19
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $72.55 / $87.30 / $157.49	Professional	26	$72.55	$87.30	$157.49
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $173.54 / $208.82 / $376.72	Professional	TC	$173.54	$208.82	$376.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $237.13 / $354.55 / $519.65	Professional		$237.13	$354.55	$519.65
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $60.85 / $78.73 / $148.47	Professional	26	$60.85	$78.73	$148.47
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $171.80 / $268.27 / $371.16	Professional	TC	$171.80	$268.27	$371.16
United Facility/Professional Professional Modifier Low / Median / High Price $235.18 / $373.46 / $548.34	Professional		$235.18	$373.46	$548.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.68 / $98.61 / $162.46	Professional	26	$69.68	$98.61	$162.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $150.33 / $274.85 / $385.88	Professional	TC	$150.33	$274.85	$385.88