Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $151.36 / $2,454.71 / $2,454.71	Facility	26	$151.36	$2,454.71	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $2,238.72	Professional		$331.13	$501.19	$2,238.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $151.36 / $346.74	Professional	26	$102.33	$151.36	$346.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $323.59 / $741.31	Professional	TC	$239.88	$323.59	$741.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $1,202.26	Professional		$316.23	$467.74	$1,202.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $158.49 / $354.81	Professional	26	$104.71	$158.49	$354.81
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $309.03 / $794.33	Professional	TC	$213.80	$309.03	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $912.01 / $1,659.59	Professional		$436.52	$912.01	$1,659.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $162.18 / $309.03	Professional	26	$109.65	$162.18	$309.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $630.96 / $1,258.93	Professional	TC	$263.03	$630.96	$1,258.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $954.99	Professional		$389.05	$489.78	$954.99
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $162.18 / $302.00	Professional	26	$128.82	$162.18	$302.00
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $323.59 / $645.65	Professional	TC	$257.04	$323.59	$645.65
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $151.36 / $151.36 / $2,454.71	Facility	26	$151.36	$151.36	$2,454.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $588.84 / $1,348.96	Professional		$371.54	$588.84	$1,348.96
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $169.82 / $338.84	Professional	26	$112.20	$169.82	$338.84
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $371.54 / $794.33	Professional	TC	$257.04	$371.54	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $537.03 / $1,202.26	Professional		$346.74	$537.03	$1,202.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $162.18 / $295.12	Professional	26	$112.20	$162.18	$295.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $354.81 / $831.76	Professional	TC	$234.42	$354.81	$831.76