Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $102.33 / $102.33	Facility	26	$102.33	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $602.56	Professional		$251.19	$323.59	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $91.20 / $213.80	Professional	26	$72.44	$91.20	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $218.78 / $416.87	Professional	TC	$169.82	$218.78	$416.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $389.05 / $933.25	Professional		$263.03	$389.05	$933.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $120.23 / $281.84	Professional	26	$83.18	$120.23	$281.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $263.03 / $602.56	Professional	TC	$177.83	$263.03	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $549.54 / $891.25	Professional		$331.13	$549.54	$891.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $117.49 / $208.93	Professional	26	$85.11	$117.49	$208.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $436.52 / $645.65	Professional	TC	$245.47	$436.52	$645.65
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $457.09 / $870.96	Professional		$371.54	$457.09	$870.96
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $125.89 / $239.88	Professional	26	$100.00	$125.89	$239.88
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $338.84 / $630.96	Professional	TC	$269.15	$338.84	$630.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $891.25	Professional		$275.42	$407.38	$891.25
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $112.20 / $275.42	Professional	26	$83.18	$112.20	$275.42
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $288.40 / $616.60	Professional	TC	$190.55	$288.40	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $912.01	Professional		$302.00	$457.09	$912.01
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 $213.80 / $323.59 / $660.69	Professional	TC	$213.80	$323.59	$660.69