Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $167.00 / $167.00 / $167.00	Facility	26	$167.00	$167.00	$167.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $475.00 / $600.00	Professional		$370.50	$475.00	$600.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.15 / $145.65 / $177.84	Professional	26	$111.15	$145.65	$177.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.35 / $335.00 / $433.00	Professional	TC	$259.35	$335.00	$433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.45 / $459.99 / $673.13	Professional		$355.45	$459.99	$673.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $113.01 / $146.25 / $224.61	Professional	26	$113.01	$146.25	$224.61
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $237.40 / $312.89 / $448.52	Professional	TC	$237.40	$312.89	$448.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.78 / $668.30 / $1,267.63	Professional		$436.78	$668.30	$1,267.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $117.65 / $176.81 / $244.71	Professional	26	$117.65	$176.81	$244.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $295.73 / $453.96 / $1,120.83	Professional	TC	$295.73	$453.96	$1,120.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $401.48 / $483.13 / $871.53	Professional		$401.48	$483.13	$871.53
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $133.97 / $161.21 / $290.82	Professional	26	$133.97	$161.21	$290.82
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $267.52 / $321.92 / $580.73	Professional	TC	$267.52	$321.92	$580.73
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $385.17 / $546.25 / $851.45	Professional		$385.17	$546.25	$851.45
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $120.31 / $167.00 / $264.06	Professional	26	$120.31	$167.00	$264.06
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $258.39 / $381.77 / $574.98	Professional	TC	$258.39	$381.77	$574.98
United Facility/Professional Professional Modifier Low / Median / High Price $372.51 / $569.52 / $927.55	Professional		$372.51	$569.52	$927.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $117.29 / $178.01 / $270.49	Professional	26	$117.29	$178.01	$270.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $233.00 / $374.77 / $598.04	Professional	TC	$233.00	$374.77	$598.04