Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $870.96	Professional		$281.84	$426.58	$870.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $114.82 / $190.55	Professional	26	$83.18	$114.82	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $295.12 / $660.69	Professional	TC	$194.98	$295.12	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $1,000.00	Professional		$269.15	$398.11	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $117.49 / $269.15	Professional	26	$79.43	$117.49	$269.15
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $275.42 / $707.95	Professional	TC	$190.55	$275.42	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $616.60 / $1,122.02	Professional		$371.54	$616.60	$1,122.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $120.23 / $229.09	Professional	26	$83.18	$120.23	$229.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $489.78 / $870.96	Professional	TC	$234.42	$489.78	$870.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $407.38 / $812.83	Professional		$323.59	$407.38	$812.83
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $120.23 / $229.09	Professional	26	$95.50	$120.23	$229.09
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $288.40 / $575.44	Professional	TC	$229.09	$288.40	$575.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $1,096.48	Professional		$338.84	$501.19	$1,096.48
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $125.89 / $263.03	Professional	26	$93.33	$125.89	$263.03
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $338.84 / $812.83	Professional	TC	$239.88	$338.84	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $537.03 / $1,000.00	Professional		$288.40	$537.03	$1,000.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $123.03 / $223.87	Professional	26	$85.11	$123.03	$223.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $398.11 / $691.83	Professional	TC	$204.17	$398.11	$691.83