Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.96 / $124.96 / $142.94	Facility	26	$124.96	$124.96	$142.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.50 / $512.36 / $689.79	Professional		$416.50	$512.36	$689.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.25 / $105.54 / $166.83	Professional	26	$91.25	$105.54	$166.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $310.95 / $421.11 / $532.20	Professional	TC	$310.95	$421.11	$532.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.68 / $515.47 / $799.60	Professional		$401.68	$515.47	$799.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.79 / $139.50 / $214.24	Professional	26	$107.79	$139.50	$214.24
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $280.27 / $371.62 / $585.36	Professional	TC	$280.27	$371.62	$585.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.29 / $690.00 / $945.67	Professional		$497.29	$690.00	$945.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $117.55 / $163.55 / $231.59	Professional	26	$117.55	$163.55	$231.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $363.18 / $548.77 / $740.41	Professional	TC	$363.18	$548.77	$740.41
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $335.00 / $335.00 / $335.00	Professional		$335.00	$335.00	$335.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $476.92 / $573.90 / $1,035.30	Professional		$476.92	$573.90	$1,035.30
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $127.78 / $153.77 / $277.38	Professional	26	$127.78	$153.77	$277.38
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $349.13 / $420.13 / $757.89	Professional	TC	$349.13	$420.13	$757.89
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $124.96 / $125.63 / $142.94	Facility	26	$124.96	$125.63	$142.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $460.21 / $541.83 / $861.73	Professional		$460.21	$541.83	$861.73
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $93.92 / $124.97 / $228.64	Professional	26	$93.92	$124.97	$228.64
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $338.74 / $447.91 / $606.85	Professional	TC	$338.74	$447.91	$606.85
United Facility/Professional Professional Modifier Low / Median / High Price $410.36 / $582.77 / $1,021.80	Professional		$410.36	$582.77	$1,021.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $111.88 / $156.19 / $257.85	Professional	26	$111.88	$156.19	$257.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $272.31 / $405.68 / $755.24	Professional	TC	$272.31	$405.68	$755.24