Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.56 / $69.76 / $69.76	Facility	26	$69.56	$69.76	$69.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.00 / $343.39 / $433.59	Professional		$248.00	$343.39	$433.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $58.91 / $87.74	Professional	26	$52.46	$58.91	$87.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $189.09 / $290.93 / $357.10	Professional	TC	$189.09	$290.93	$357.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.89 / $342.48 / $526.62	Professional		$244.89	$342.48	$526.62
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.16 / $77.84 / $118.18	Professional	26	$56.16	$77.84	$118.18
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $181.38 / $252.01 / $408.44	Professional	TC	$181.38	$252.01	$408.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.07 / $452.86 / $690.00	Professional		$335.07	$452.86	$690.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.95 / $92.60 / $129.52	Professional	26	$57.95	$92.60	$129.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $260.27 / $381.39 / $490.00	Professional	TC	$260.27	$381.39	$490.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $314.10 / $377.98 / $681.85	Professional		$314.10	$377.98	$681.85
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $70.48 / $84.82 / $153.02	Professional	26	$70.48	$84.82	$153.02
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $243.61 / $293.14 / $528.83	Professional	TC	$243.61	$293.14	$528.83
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $69.56 / $69.56 / $69.76	Facility	26	$69.56	$69.56	$69.76
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $275.83 / $394.90 / $590.94	Professional		$275.83	$394.90	$590.94
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $55.32 / $69.76 / $142.13	Professional	26	$55.32	$69.76	$142.13
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $206.08 / $323.64 / $434.47	Professional	TC	$206.08	$323.64	$434.47
United Facility/Professional Professional Modifier Low / Median / High Price $254.81 / $371.85 / $643.35	Professional		$254.81	$371.85	$643.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.73 / $87.12 / $153.71	Professional	26	$61.73	$87.12	$153.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.57 / $281.86 / $499.42	Professional	TC	$194.57	$281.86	$499.42