Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.22 / $102.22 / $107.29	Facility	26	$102.22	$102.22	$107.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.37 / $408.85 / $480.94	Professional		$313.37	$408.85	$480.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.39 / $91.52 / $137.63	Professional	26	$82.39	$91.52	$137.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.08 / $309.93 / $380.41	Professional	TC	$206.08	$309.93	$380.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.67 / $402.55 / $679.35	Professional		$297.67	$402.55	$679.35
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $86.81 / $120.59 / $183.83	Professional	26	$86.81	$120.59	$183.83
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $446.51 / $603.83 / $1,019.02	Professional	50	$446.51	$603.83	$1,019.02
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $205.54 / $279.39 / $495.52	Professional	TC	$205.54	$279.39	$495.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.45 / $572.79 / $808.46	Professional		$428.45	$572.79	$808.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.58 / $131.99 / $199.27	Professional	26	$91.58	$131.99	$199.27
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $523.66 / $523.66 / $523.66	Professional	50	$523.66	$523.66	$523.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $313.04 / $427.27 / $590.79	Professional	TC	$313.04	$427.27	$590.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $405.19 / $487.60 / $879.59	Professional		$405.19	$487.60	$879.59
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $131.94 / $238.03	Professional	26	$109.65	$131.94	$238.03
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $295.55 / $355.65 / $641.58	Professional	TC	$295.55	$355.65	$641.58
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $102.22 / $102.22 / $107.29	Facility	26	$102.22	$102.22	$107.29
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $313.37 / $429.13 / $580.16	Professional		$313.37	$429.13	$580.16
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $86.86 / $107.29 / $165.02	Professional	26	$86.86	$107.29	$165.02
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $206.08 / $309.93 / $383.67	Professional	TC	$206.08	$309.93	$383.67
United Facility/Professional Professional Modifier Low / Median / High Price $333.51 / $499.16 / $879.59	Professional		$333.51	$499.16	$879.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $92.72 / $135.19 / $221.38	Professional	26	$92.72	$135.19	$221.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $240.79 / $364.98 / $661.21	Professional	TC	$240.79	$364.98	$661.21