Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $144.54	Facility	26	$125.89	$125.89	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $891.25	Professional		$309.03	$467.74	$891.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $112.20 / $234.42	Professional	26	$83.18	$112.20	$234.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $354.81 / $562.34	Professional	TC	$223.87	$354.81	$562.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $1,202.26	Professional		$380.19	$549.54	$1,202.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $144.54 / $338.84	Professional	26	$100.00	$144.54	$338.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $398.11 / $933.25	Professional	TC	$275.42	$398.11	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $691.83 / $1,023.29	Professional		$407.38	$691.83	$1,023.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $141.25 / $229.09	Professional	26	$109.65	$141.25	$229.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $512.86 / $812.83	Professional	TC	$302.00	$512.86	$812.83
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $1,096.48	Professional		$457.09	$575.44	$1,096.48
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $154.88 / $295.12	Professional	26	$123.03	$154.88	$295.12
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $426.58 / $794.33	Professional	TC	$338.84	$426.58	$794.33
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $144.54	Facility	26	$125.89	$125.89	$144.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $1,023.29	Professional		$398.11	$537.03	$1,023.29
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $131.83 / $263.03	Professional	26	$93.33	$131.83	$263.03
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $416.87 / $758.58	Professional	TC	$288.40	$416.87	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $575.44 / $1,148.15	Professional		$380.19	$575.44	$1,148.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $154.88 / $288.40	Professional	26	$107.15	$154.88	$288.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $407.38 / $831.76	Professional	TC	$275.42	$407.38	$831.76