Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.79 / $66.23 / $320.56	Facility	26	$62.79	$66.23	$320.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.95 / $272.44 / $414.92	Professional		$233.95	$272.44	$414.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $58.49 / $83.57	Professional	26	$50.07	$58.49	$83.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $175.12 / $217.46 / $331.34	Professional	TC	$175.12	$217.46	$331.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.77 / $310.33 / $476.86	Professional		$231.77	$310.33	$476.86
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.16 / $74.45 / $112.65	Professional	26	$57.16	$74.45	$112.65
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $171.43 / $227.56 / $364.21	Professional	TC	$171.43	$227.56	$364.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.07 / $403.70 / $581.44	Professional		$301.07	$403.70	$581.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.65 / $87.91 / $123.18	Professional	26	$55.65	$87.91	$123.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $229.81 / $313.74 / $448.34	Professional	TC	$229.81	$313.74	$448.34
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $284.42 / $342.25 / $617.41	Professional		$284.42	$342.25	$617.41
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $67.19 / $80.84 / $145.86	Professional	26	$67.19	$80.84	$145.86
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $217.23 / $261.41 / $471.56	Professional	TC	$217.23	$261.41	$471.56
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $62.79 / $66.23 / $320.56	Facility	26	$62.79	$66.23	$320.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $267.55 / $307.68 / $500.76	Professional		$267.55	$307.68	$500.76
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $52.81 / $66.23 / $120.61	Professional	26	$52.81	$66.23	$120.61
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $205.64 / $248.43 / $365.24	Professional	TC	$205.64	$248.43	$365.24
United Facility/Professional Professional Modifier Low / Median / High Price $226.88 / $330.47 / $611.15	Professional		$226.88	$330.47	$611.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.18 / $83.06 / $136.65	Professional	26	$57.18	$83.06	$136.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.70 / $238.07 / $465.21	Professional	TC	$169.70	$238.07	$465.21