Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $165.96 / $165.96	Facility	26	$97.72	$165.96	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $446.68 / $1,047.13	Professional		$295.12	$446.68	$1,047.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $120.23 / $269.15	Professional	26	$85.11	$120.23	$269.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $302.00 / $660.69	Professional	TC	$208.93	$302.00	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $1,000.00	Professional		$269.15	$398.11	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $123.03 / $275.42	Professional	26	$81.28	$123.03	$275.42
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $275.42 / $707.95	Professional	TC	$186.21	$275.42	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $630.96 / $1,047.13	Professional		$371.54	$630.96	$1,047.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $123.03 / $239.88	Professional	26	$85.11	$123.03	$239.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $501.19 / $831.76	Professional	TC	$229.09	$501.19	$831.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $416.87 / $812.83	Professional		$323.59	$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 / $288.40 / $562.34	Professional	TC	$229.09	$288.40	$562.34
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $97.72 / $165.96	Facility	26	$97.72	$97.72	$165.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $1,096.48	Professional		$346.74	$549.54	$1,096.48
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $147.91 / $269.15	Professional	26	$104.71	$147.91	$269.15
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $371.54 / $812.83	Professional	TC	$239.88	$371.54	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $446.68 / $933.25	Professional		$295.12	$446.68	$933.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $125.89 / $229.09	Professional	26	$87.10	$125.89	$229.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $316.23 / $645.65	Professional	TC	$204.17	$316.23	$645.65