Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.07 / $335.70 / $383.66	Professional		$216.07	$335.70	$383.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.56 / $57.89 / $92.28	Professional	26	$54.56	$57.89	$92.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $167.82 / $243.40 / $325.76	Professional	TC	$167.82	$243.40	$325.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.78 / $281.83 / $413.97	Professional		$217.78	$281.83	$413.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.42 / $81.45 / $123.02	Professional	26	$58.42	$81.45	$123.02
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $154.25 / $199.62 / $290.95	Professional	TC	$154.25	$199.62	$290.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.74 / $394.16 / $637.39	Professional		$267.74	$394.16	$637.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.97 / $95.85 / $135.37	Professional	26	$60.97	$95.85	$135.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.28 / $290.61 / $510.00	Professional	TC	$190.28	$290.61	$510.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $246.91 / $297.12 / $535.99	Professional		$246.91	$297.12	$535.99
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $73.37 / $88.29 / $159.27	Professional	26	$73.37	$88.29	$159.27
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 $216.07 / $332.61 / $383.66	Professional		$216.07	$332.61	$383.66
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $54.56 / $61.49 / $92.28	Professional	26	$54.56	$61.49	$92.28
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $154.59 / $229.70 / $299.02	Professional	TC	$154.59	$229.70	$299.02
United Facility/Professional Professional Modifier Low / Median / High Price $232.29 / $366.81 / $541.60	Professional		$232.29	$366.81	$541.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.37 / $90.53 / $159.11	Professional	26	$62.37	$90.53	$159.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $168.18 / $293.83 / $419.29	Professional	TC	$168.18	$293.83	$419.29