Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.39 / $102.39 / $102.39	Facility	26	$102.39	$102.39	$102.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.86 / $388.27 / $474.48	Professional		$274.86	$388.27	$474.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.34 / $86.92 / $102.39	Professional	26	$78.34	$86.92	$102.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $188.49 / $309.93 / $380.41	Professional	TC	$188.49	$309.93	$380.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.75 / $387.52 / $640.65	Professional		$283.75	$387.52	$640.65
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.62 / $115.11 / $174.85	Professional	26	$82.62	$115.11	$174.85
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $188.37 / $277.82 / $465.80	Professional	TC	$188.37	$277.82	$465.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.91 / $546.20 / $770.28	Professional		$398.91	$546.20	$770.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.05 / $135.01 / $190.11	Professional	26	$87.05	$135.01	$190.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $288.39 / $436.54 / $590.16	Professional	TC	$288.39	$436.54	$590.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $382.11 / $459.82 / $829.48	Professional		$382.11	$459.82	$829.48
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $104.29 / $125.50 / $226.39	Professional	26	$104.29	$125.50	$226.39
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $277.82 / $334.32 / $603.09	Professional	TC	$277.82	$334.32	$603.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $308.47 / $404.65 / $570.70	Professional		$308.47	$404.65	$570.70
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $78.34 / $93.56 / $186.81	Professional	26	$78.34	$93.56	$186.81
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $206.08 / $321.99 / $385.85	Professional	TC	$206.08	$321.99	$385.85
United Facility/Professional Professional Modifier Low / Median / High Price $326.86 / $458.77 / $813.88	Professional		$326.86	$458.77	$813.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.67 / $129.10 / $225.62	Professional	26	$91.67	$129.10	$225.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $214.60 / $304.31 / $588.26	Professional	TC	$214.60	$304.31	$588.26