Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $475.00 / $600.00	Professional		$370.50	$475.00	$600.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.15 / $140.00 / $167.00	Professional	26	$111.15	$140.00	$167.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.35 / $335.00 / $433.00	Professional	TC	$259.35	$335.00	$433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.02 / $388.27 / $564.63	Professional		$300.02	$388.27	$564.63
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.89 / $111.15 / $167.94	Professional	26	$85.89	$111.15	$167.94
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $209.20 / $276.81 / $396.69	Professional	TC	$209.20	$276.81	$396.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.78 / $566.25 / $943.28	Professional		$368.78	$566.25	$943.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.91 / $131.59 / $183.99	Professional	26	$82.91	$131.59	$183.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $261.89 / $386.71 / $732.24	Professional	TC	$261.89	$386.71	$732.24
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $336.77 / $405.25 / $731.06	Professional		$336.77	$405.25	$731.06
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $100.16 / $120.53 / $217.43	Professional	26	$100.16	$120.53	$217.43
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $236.60 / $283.47 / $545.72	Professional	TC	$236.60	$283.47	$545.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $324.42 / $484.91 / $893.00	Professional		$324.42	$484.91	$893.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $90.24 / $140.00 / $167.00	Professional	26	$90.24	$140.00	$167.00
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $234.17 / $348.53 / $433.00	Professional	TC	$234.17	$348.53	$433.00
United Facility/Professional Professional Modifier Low / Median / High Price $314.58 / $564.69 / $783.30	Professional		$314.58	$564.69	$783.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.60 / $124.12 / $204.55	Professional	26	$85.60	$124.12	$204.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $226.64 / $432.94 / $564.85	Professional	TC	$226.64	$432.94	$564.85