Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.23 / $167.00 / $167.00	Facility	26	$88.23	$167.00	$167.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $494.18 / $600.00	Professional		$370.50	$494.18	$600.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.10 / $140.00 / $167.00	Professional	26	$108.10	$140.00	$167.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $267.69 / $348.53 / $453.21	Professional	TC	$267.69	$348.53	$453.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.21 / $456.34 / $656.55	Professional		$349.21	$456.34	$656.55
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.87 / $104.40 / $158.26	Professional	26	$74.87	$104.40	$158.26
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $261.04 / $350.83 / $498.28	Professional	TC	$261.04	$350.83	$498.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.23 / $618.71 / $943.28	Professional		$434.23	$618.71	$943.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.63 / $122.43 / $174.06	Professional	26	$77.63	$122.43	$174.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $334.05 / $488.89 / $730.00	Professional	TC	$334.05	$488.89	$730.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $391.59 / $471.22 / $850.06	Professional		$391.59	$471.22	$850.06
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $94.39 / $113.59 / $204.90	Professional	26	$94.39	$113.59	$204.90
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $297.20 / $357.63 / $645.16	Professional	TC	$297.20	$357.63	$645.16
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $88.23 / $106.03 / $167.00	Facility	26	$88.23	$106.03	$167.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $379.51 / $556.54 / $845.08	Professional		$379.51	$556.54	$845.08
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $93.06 / $143.38 / $189.55	Professional	26	$93.06	$143.38	$189.55
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $294.30 / $424.20 / $651.26	Professional	TC	$294.30	$424.20	$651.26
United Facility/Professional Professional Modifier Low / Median / High Price $371.36 / $516.71 / $924.69	Professional		$371.36	$516.71	$924.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.73 / $120.18 / $192.76	Professional	26	$83.73	$120.18	$192.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $288.35 / $401.58 / $718.84	Professional	TC	$288.35	$401.58	$718.84