Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.20 / $59.20 / $93.50	Facility	26	$59.20	$59.20	$93.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $158.75 / $233.05	Professional		$134.40	$158.75	$233.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.10 / $53.10 / $78.87	Professional	26	$46.10	$53.10	$78.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $88.29 / $104.86 / $154.18	Professional	TC	$88.29	$104.86	$154.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.02 / $194.15 / $289.57	Professional		$150.02	$194.15	$289.57
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.85 / $68.39 / $105.05	Professional	26	$52.85	$68.39	$105.05
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $95.64 / $124.69 / $184.52	Professional	TC	$95.64	$124.69	$184.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.78 / $224.30 / $322.58	Professional		$155.78	$224.30	$322.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.28 / $70.29 / $113.71	Professional	26	$54.28	$70.29	$113.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $99.43 / $142.44 / $207.81	Professional	TC	$99.43	$142.44	$207.81
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $221.00 / $221.00 / $221.00	Professional		$221.00	$221.00	$221.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $172.71 / $207.83 / $374.92	Professional		$172.71	$207.83	$374.92
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $62.65 / $75.40 / $136.00	Professional	26	$62.65	$75.40	$136.00
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $110.06 / $132.44 / $238.92	Professional	TC	$110.06	$132.44	$238.92
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $58.51 / $61.75 / $105.12	Facility	26	$58.51	$61.75	$105.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $145.74 / $169.12 / $252.80	Professional		$145.74	$169.12	$252.80
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $48.60 / $59.20 / $90.25	Professional	26	$48.60	$59.20	$90.25
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $97.45 / $109.93 / $167.77	Professional	TC	$97.45	$109.93	$167.77
United Facility/Professional Professional Modifier Low / Median / High Price $146.81 / $212.48 / $367.39	Professional		$146.81	$212.48	$367.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.65 / $75.84 / $125.70	Professional	26	$52.65	$75.84	$125.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $94.16 / $140.28 / $241.69	Professional	TC	$94.16	$140.28	$241.69