Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $141.25 / $165.96	Facility	26	$141.25	$141.25	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $501.19 / $1,348.96	Professional		$316.23	$501.19	$1,348.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $158.49 / $331.13	Professional	26	$104.71	$158.49	$331.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $436.52 / $758.58	Professional	TC	$281.84	$436.52	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $1,513.56	Professional		$407.38	$602.56	$1,513.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $144.54 / $331.13	Professional	26	$100.00	$144.54	$331.13
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $457.09 / $1,174.90	Professional	TC	$309.03	$457.09	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $891.25 / $1,513.56	Professional		$562.34	$891.25	$1,513.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $138.04 / $288.40	Professional	26	$102.33	$138.04	$288.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $389.05 / $691.83 / $1,318.26	Professional	TC	$389.05	$691.83	$1,318.26
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $616.60 / $1,230.27	Professional		$489.78	$616.60	$1,230.27
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $151.36 / $281.84	Professional	26	$120.23	$151.36	$281.84
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $371.54 / $467.74 / $933.25	Professional	TC	$371.54	$467.74	$933.25
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $141.25 / $141.25	Facility	26	$141.25	$141.25	$141.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $602.56 / $1,348.96	Professional		$371.54	$602.56	$1,348.96
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $165.96 / $323.59	Professional	26	$112.20	$165.96	$323.59
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $478.63 / $977.24	Professional	TC	$302.00	$478.63	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $707.95 / $1,348.96	Professional		$446.68	$707.95	$1,348.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $151.36 / $281.84	Professional	26	$107.15	$151.36	$281.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $524.81 / $1,071.52	Professional	TC	$338.84	$524.81	$1,071.52