Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $143.58 / $167.00 / $167.00	Facility	26	$143.58	$167.00	$167.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.86 / $475.00 / $606.79	Professional		$370.86	$475.00	$606.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.15 / $145.65 / $191.25	Professional	26	$111.15	$145.65	$191.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $264.72 / $335.00 / $448.16	Professional	TC	$264.72	$335.00	$448.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.98 / $487.86 / $707.69	Professional		$376.98	$487.86	$707.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $108.60 / $140.85 / $214.93	Professional	26	$108.60	$140.85	$214.93
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $260.97 / $346.70 / $492.75	Professional	TC	$260.97	$346.70	$492.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.38 / $711.51 / $1,260.91	Professional		$463.38	$711.51	$1,260.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.94 / $165.09 / $233.37	Professional	26	$107.94	$165.09	$233.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $328.35 / $484.37 / $1,097.93	Professional	TC	$328.35	$484.37	$1,097.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $422.09 / $507.93 / $916.27	Professional		$422.09	$507.93	$916.27
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $128.19 / $154.27 / $278.27	Professional	26	$128.19	$154.27	$278.27
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $293.89 / $353.66 / $638.00	Professional	TC	$293.89	$353.66	$638.00
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $143.58 / $143.58 / $143.58	Facility	26	$143.58	$143.58	$143.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $414.90 / $592.79 / $1,016.00	Professional		$414.90	$592.79	$1,016.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $127.50 / $167.00 / $259.89	Professional	26	$127.50	$167.00	$259.89
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $291.02 / $412.31 / $631.87	Professional	TC	$291.02	$412.31	$631.87
United Facility/Professional Professional Modifier Low / Median / High Price $395.91 / $685.18 / $985.82	Professional		$395.91	$685.18	$985.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $108.15 / $161.69 / $276.00	Professional	26	$108.15	$161.69	$276.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $284.74 / $523.48 / $709.82	Professional	TC	$284.74	$523.48	$709.82