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 / $141.25	Facility	26	$141.25	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $446.68 / $1,122.02	Professional		$257.04	$446.68	$1,122.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $147.91 / $338.84	Professional	26	$104.71	$147.91	$338.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $338.84 / $977.24	Professional	TC	$257.04	$338.84	$977.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $489.78 / $1,258.93	Professional		$338.84	$489.78	$1,258.93
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 $234.42 / $346.74 / $891.25	Professional	TC	$234.42	$346.74	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $891.25 / $1,380.38	Professional		$467.74	$891.25	$1,380.38
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 $295.12 / $645.65 / $1,122.02	Professional	TC	$295.12	$645.65	$1,122.02
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $1,000.00	Professional		$407.38	$512.86	$1,000.00
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 $288.40 / $363.08 / $707.95	Professional	TC	$288.40	$363.08	$707.95
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 $338.84 / $537.03 / $1,230.27	Professional		$338.84	$537.03	$1,230.27
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 $269.15 / $416.87 / $954.99	Professional	TC	$269.15	$416.87	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $676.08 / $1,288.25	Professional		$363.08	$676.08	$1,288.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $151.36 / $275.42	Professional	26	$104.71	$151.36	$275.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $489.78 / $954.99	Professional	TC	$263.03	$489.78	$954.99