Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $107.15 / $165.96	Facility	26	$89.13	$107.15	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $478.63 / $870.96	Professional		$338.84	$478.63	$870.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $131.83 / $257.04	Professional	26	$83.18	$131.83	$257.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $338.84 / $630.96	Professional	TC	$257.04	$338.84	$630.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $1,148.15	Professional		$316.23	$457.09	$1,148.15
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $109.65 / $251.19	Professional	26	$74.13	$109.65	$251.19
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $346.74 / $891.25	Professional	TC	$239.88	$346.74	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $1,047.13	Professional		$436.52	$645.65	$1,047.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $104.71 / $218.78	Professional	26	$77.62	$104.71	$218.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $501.19 / $891.25	Professional	TC	$295.12	$501.19	$891.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $489.78 / $954.99	Professional		$380.19	$489.78	$954.99
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $114.82 / $213.80	Professional	26	$91.20	$114.82	$213.80
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $363.08 / $724.44	Professional	TC	$288.40	$363.08	$724.44
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $107.15 / $165.96	Facility	26	$89.13	$107.15	$165.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $1,023.29	Professional		$371.54	$562.34	$1,023.29
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $141.25 / $251.19	Professional	26	$93.33	$141.25	$251.19
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $426.58 / $851.14	Professional	TC	$281.84	$426.58	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $1,047.13	Professional		$346.74	$524.81	$1,047.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $114.82 / $213.80	Professional	26	$81.28	$114.82	$213.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $407.38 / $794.33	Professional	TC	$263.03	$407.38	$794.33