Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $165.96 / $165.96 / $165.96	Facility	26	$165.96	$165.96	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $1,122.02	Professional		$302.00	$457.09	$1,122.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $125.89 / $281.84	Professional	26	$87.10	$125.89	$281.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $302.00 / $660.69	Professional	TC	$213.80	$302.00	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $1,023.29	Professional		$275.42	$407.38	$1,023.29
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $123.03 / $275.42	Professional	26	$83.18	$123.03	$275.42
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $281.84 / $724.44	Professional	TC	$190.55	$281.84	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $630.96 / $1,071.52	Professional		$371.54	$630.96	$1,071.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $128.82 / $239.88	Professional	26	$85.11	$128.82	$239.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $501.19 / $831.76	Professional	TC	$234.42	$501.19	$831.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $812.83	Professional		$331.13	$416.87	$812.83
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $125.89 / $234.42	Professional	26	$100.00	$125.89	$234.42
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $295.12 / $575.44	Professional	TC	$229.09	$295.12	$575.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $1,122.02	Professional		$346.74	$549.54	$1,122.02
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $154.88 / $281.84	Professional	26	$104.71	$154.88	$281.84
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $371.54 / $831.76	Professional	TC	$245.47	$371.54	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $933.25	Professional		$295.12	$457.09	$933.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $128.82 / $234.42	Professional	26	$89.13	$128.82	$234.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $323.59 / $660.69	Professional	TC	$208.93	$323.59	$660.69