Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $457.09	Professional		$199.53	$275.42	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $64.57 / $117.49	Professional	26	$51.29	$64.57	$117.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $190.55 / $331.13	Professional	TC	$141.25	$190.55	$331.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $741.31	Professional		$194.98	$288.40	$741.31
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $85.11 / $194.98	Professional	26	$58.88	$85.11	$194.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $204.17 / $489.78	Professional	TC	$138.04	$204.17	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $407.38 / $691.83	Professional		$263.03	$407.38	$691.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $87.10 / $169.82	Professional	26	$61.66	$87.10	$169.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $323.59 / $512.86	Professional	TC	$181.97	$323.59	$512.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $588.84	Professional		$239.88	$302.00	$588.84
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $89.13 / $165.96	Professional	26	$70.79	$89.13	$165.96
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $208.93 / $416.87	Professional	TC	$165.96	$208.93	$416.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $331.13 / $831.76	Professional		$218.78	$331.13	$831.76
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $85.11 / $186.21	Professional	26	$57.54	$85.11	$186.21
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $223.87 / $602.56	Professional	TC	$158.49	$223.87	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $371.54 / $645.65	Professional		$213.80	$371.54	$645.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $91.20 / $165.96	Professional	26	$61.66	$91.20	$165.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $275.42 / $478.63	Professional	TC	$151.36	$275.42	$478.63