Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.36 / $475.00 / $600.00	Professional		$371.36	$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 $284.99 / $335.00 / $452.76	Professional	TC	$284.99	$335.00	$452.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.35 / $483.75 / $711.83	Professional		$372.35	$483.75	$711.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.84 / $113.85 / $174.85	Professional	26	$81.84	$113.85	$174.85
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $279.77 / $369.09 / $536.98	Professional	TC	$279.77	$369.09	$536.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.16 / $648.39 / $966.63	Professional		$458.16	$648.39	$966.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.34 / $134.84 / $189.34	Professional	26	$86.34	$134.84	$189.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $348.51 / $504.72 / $765.90	Professional	TC	$348.51	$504.72	$765.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $424.57 / $510.91 / $921.66	Professional		$424.57	$510.91	$921.66
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $104.29 / $125.50 / $226.39	Professional	26	$104.29	$125.50	$226.39
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $320.27 / $385.41 / $695.26	Professional	TC	$320.27	$385.41	$695.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $410.62 / $546.25 / $886.10	Professional		$410.62	$546.25	$886.10
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $93.61 / $140.00 / $186.74	Professional	26	$93.61	$140.00	$186.74
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $297.50 / $368.50 / $542.09	Professional	TC	$297.50	$368.50	$542.09
United Facility/Professional Professional Modifier Low / Median / High Price $391.93 / $568.51 / $911.90	Professional		$391.93	$568.51	$911.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.80 / $127.76 / $209.59	Professional	26	$87.80	$127.76	$209.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $300.98 / $458.27 / $750.03	Professional	TC	$300.98	$458.27	$750.03