Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.96 / $282.68 / $340.81	Professional		$194.96	$282.68	$340.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.78 / $58.61 / $87.94	Professional	26	$52.78	$58.61	$87.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $136.38 / $229.91 / $282.18	Professional	TC	$136.38	$229.91	$282.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.72 / $241.64 / $357.99	Professional		$186.72	$241.64	$357.99
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.50 / $78.29 / $118.87	Professional	26	$60.50	$78.29	$118.87
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $123.84 / $162.62 / $239.12	Professional	TC	$123.84	$162.62	$239.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.89 / $336.51 / $513.00	Professional		$223.89	$336.51	$513.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.30 / $91.80 / $130.29	Professional	26	$58.30	$91.80	$130.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $149.09 / $236.30 / $409.00	Professional	TC	$149.09	$236.30	$409.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $213.52 / $256.94 / $463.51	Professional		$213.52	$256.94	$463.51
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $70.90 / $85.32 / $153.91	Professional	26	$70.90	$85.32	$153.91
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $142.62 / $171.62 / $309.60	Professional	TC	$142.62	$171.62	$309.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $204.94 / $282.68 / $368.44	Professional		$204.94	$282.68	$368.44
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $52.78 / $64.51 / $127.09	Professional	26	$52.78	$64.51	$127.09
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $136.38 / $217.25 / $282.18	Professional	TC	$136.38	$217.25	$282.18
United Facility/Professional Professional Modifier Low / Median / High Price $199.39 / $311.45 / $464.89	Professional		$199.39	$311.45	$464.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.24 / $94.72 / $143.93	Professional	26	$60.24	$94.72	$143.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.04 / $224.33 / $342.77	Professional	TC	$125.04	$224.33	$342.77