Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $140.77 / $167.00 / $167.00	Facility	26	$140.77	$167.00	$167.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $475.00 / $608.16	Professional		$370.50	$475.00	$608.16
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 $267.20 / $335.00 / $452.58	Professional	TC	$267.20	$335.00	$452.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.98 / $487.86 / $708.38	Professional		$376.98	$487.86	$708.38
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $106.06 / $137.25 / $210.79	Professional	26	$106.06	$137.25	$210.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $263.82 / $349.91 / $497.59	Professional	TC	$263.82	$349.91	$497.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.15 / $700.78 / $1,215.48	Professional		$463.15	$700.78	$1,215.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.63 / $160.97 / $228.03	Professional	26	$102.63	$160.97	$228.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $330.79 / $482.02 / $1,063.99	Professional	TC	$330.79	$482.02	$1,063.99
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $422.51 / $508.43 / $917.18	Professional		$422.51	$508.43	$917.18
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $125.72 / $151.29 / $272.91	Professional	26	$125.72	$151.29	$272.91
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $296.77 / $357.14 / $644.25	Professional	TC	$296.77	$357.14	$644.25
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $140.77 / $140.77 / $140.77	Facility	26	$140.77	$140.77	$140.77
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $406.85 / $599.34 / $1,016.00	Professional		$406.85	$599.34	$1,016.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $112.95 / $161.00 / $250.85	Professional	26	$112.95	$161.00	$250.85
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $293.89 / $414.96 / $648.97	Professional	TC	$293.89	$414.96	$648.97
United Facility/Professional Professional Modifier Low / Median / High Price $366.59 / $680.57 / $984.92	Professional		$366.59	$680.57	$984.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $108.31 / $169.65 / $269.69	Professional	26	$108.31	$169.65	$269.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $286.91 / $526.83 / $715.23	Professional	TC	$286.91	$526.83	$715.23