Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.70 / $73.01 / $82.79	Facility	26	$72.70	$73.01	$82.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.22 / $307.30 / $395.37	Professional		$250.22	$307.30	$395.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.86 / $64.06 / $92.86	Professional	26	$54.86	$64.06	$92.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $188.73 / $248.90 / $309.89	Professional	TC	$188.73	$248.90	$309.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.84 / $316.06 / $485.15	Professional		$237.84	$316.06	$485.15
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.94 / $81.45 / $123.71	Professional	26	$62.94	$81.45	$123.71
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $171.24 / $227.16 / $361.45	Professional	TC	$171.24	$227.16	$361.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.88 / $410.95 / $640.00	Professional		$306.88	$410.95	$640.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.32 / $96.93 / $135.63	Professional	26	$61.32	$96.93	$135.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $228.99 / $312.62 / $450.00	Professional	TC	$228.99	$312.62	$450.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $289.36 / $348.21 / $628.14	Professional		$289.36	$348.21	$628.14
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $73.78 / $88.79 / $160.16	Professional	26	$73.78	$88.79	$160.16
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $215.58 / $259.42 / $467.98	Professional	TC	$215.58	$259.42	$467.98
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $68.89 / $73.01 / $83.89	Facility	26	$68.89	$73.01	$83.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $274.05 / $329.31 / $497.33	Professional		$274.05	$329.31	$497.33
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $58.24 / $73.01 / $132.32	Professional	26	$58.24	$73.01	$132.32
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $205.16 / $258.61 / $362.92	Professional	TC	$205.16	$258.61	$362.92
United Facility/Professional Professional Modifier Low / Median / High Price $250.73 / $337.56 / $584.60	Professional		$250.73	$337.56	$584.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.62 / $100.58 / $160.16	Professional	26	$64.62	$100.58	$160.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $185.86 / $249.43 / $463.41	Professional	TC	$185.86	$249.43	$463.41