Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.34 / $69.34 / $69.34	Facility	26	$69.34	$69.34	$69.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.24 / $350.87 / $412.79	Professional		$236.24	$350.87	$412.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.78 / $58.56 / $87.10	Professional	26	$52.78	$58.56	$87.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $173.02 / $298.10 / $350.69	Professional	TC	$173.02	$298.10	$350.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.61 / $277.73 / $410.51	Professional		$214.61	$277.73	$410.51
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.15 / $77.84 / $117.49	Professional	26	$60.15	$77.84	$117.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $152.05 / $199.16 / $293.02	Professional	TC	$152.05	$199.16	$293.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $386.81 / $617.94	Professional		$256.08	$386.81	$617.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.30 / $91.29 / $129.52	Professional	26	$58.30	$91.29	$129.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $181.70 / $277.27 / $457.39	Professional	TC	$181.70	$277.27	$457.39
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $244.85 / $287.26 / $531.52	Professional		$244.85	$287.26	$531.52
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $70.06 / $84.32 / $152.11	Professional	26	$70.06	$84.32	$152.11
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $174.77 / $209.39 / $403.11	Professional	TC	$174.77	$209.39	$403.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $236.24 / $350.87 / $424.51	Professional		$236.24	$350.87	$424.51
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $52.78 / $63.22 / $125.88	Professional	26	$52.78	$63.22	$125.88
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $173.02 / $266.42 / $365.88	Professional	TC	$173.02	$266.42	$365.88
United Facility/Professional Professional Modifier Low / Median / High Price $218.77 / $371.97 / $550.88	Professional		$218.77	$371.97	$550.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.91 / $86.64 / $152.81	Professional	26	$59.91	$86.64	$152.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $174.68 / $285.33 / $435.50	Professional	TC	$174.68	$285.33	$435.50