Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.03 / $104.03 / $330.23	Facility	26	$104.03	$104.03	$330.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.31 / $392.89 / $477.07	Professional		$309.31	$392.89	$477.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.98 / $92.14 / $152.66	Professional	26	$82.98	$92.14	$152.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.08 / $309.93 / $380.41	Professional	TC	$206.08	$309.93	$380.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.79 / $381.21 / $593.65	Professional		$284.79	$381.21	$593.65
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $90.06 / $116.55 / $177.61	Professional	26	$90.06	$116.55	$177.61
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $188.76 / $252.01 / $416.04	Professional	TC	$188.76	$252.01	$416.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.57 / $558.25 / $803.81	Professional		$367.57	$558.25	$803.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.32 / $136.66 / $193.16	Professional	26	$92.32	$136.66	$193.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $255.78 / $393.63 / $588.40	Professional	TC	$255.78	$393.63	$588.40
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $387.95 / $387.95 / $387.95	Professional		$387.95	$387.95	$387.95
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $354.08 / $415.41 / $768.64	Professional		$354.08	$415.41	$768.64
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $105.94 / $127.48 / $229.97	Professional	26	$105.94	$127.48	$229.97
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $248.14 / $302.73 / $572.33	Professional	TC	$248.14	$302.73	$572.33
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $98.72 / $104.22 / $341.72	Facility	26	$98.72	$104.22	$341.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $310.11 / $409.47 / $574.05	Professional		$310.11	$409.47	$574.05
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $87.78 / $104.03 / $180.38	Professional	26	$87.78	$104.03	$180.38
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $206.08 / $286.51 / $385.85	Professional	TC	$206.08	$286.51	$385.85
United Facility/Professional Professional Modifier Low / Median / High Price $285.06 / $407.80 / $715.73	Professional		$285.06	$407.80	$715.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $92.06 / $130.36 / $214.65	Professional	26	$92.06	$130.36	$214.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $214.73 / $306.81 / $535.13	Professional	TC	$214.73	$306.81	$535.13