Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.40 / $167.00 / $167.00	Facility	26	$88.40	$167.00	$167.00
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 $98.01 / $140.00 / $167.00	Professional	26	$98.01	$140.00	$167.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.35 / $342.57 / $433.00	Professional	TC	$259.35	$342.57	$433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.29 / $409.34 / $633.04	Professional		$296.29	$409.34	$633.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.28 / $86.85 / $132.00	Professional	26	$62.28	$86.85	$132.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $234.51 / $313.05 / $501.05	Professional	TC	$234.51	$313.05	$501.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.83 / $586.20 / $943.28	Professional		$418.83	$586.20	$943.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.39 / $101.74 / $144.80	Professional	26	$64.39	$101.74	$144.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $335.68 / $474.20 / $726.77	Professional	TC	$335.68	$474.20	$726.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $377.58 / $454.36 / $819.65	Professional		$377.58	$454.36	$819.65
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $78.73 / $94.74 / $170.91	Professional	26	$78.73	$94.74	$170.91
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $298.85 / $359.62 / $648.74	Professional	TC	$298.85	$359.62	$648.74
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $88.40 / $88.40 / $88.40	Facility	26	$88.40	$88.40	$88.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $366.98 / $546.25 / $749.68	Professional		$366.98	$546.25	$749.68
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $71.73 / $140.00 / $167.00	Professional	26	$71.73	$140.00	$167.00
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $288.70 / $419.27 / $575.71	Professional	TC	$288.70	$419.27	$575.71
United Facility/Professional Professional Modifier Low / Median / High Price $358.37 / $543.80 / $834.71	Professional		$358.37	$543.80	$834.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.90 / $96.59 / $159.93	Professional	26	$66.90	$96.59	$159.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $289.08 / $396.24 / $689.30	Professional	TC	$289.08	$396.24	$689.30