Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $117.49 / $120.23	Facility	26	$104.71	$117.49	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $660.69	Professional		$251.19	$323.59	$660.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $102.33 / $275.42	Professional	26	$77.62	$102.33	$275.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $223.87 / $467.74	Professional	TC	$173.78	$223.87	$467.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $389.05 / $933.25	Professional		$263.03	$389.05	$933.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $120.23 / $281.84	Professional	26	$83.18	$120.23	$281.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $263.03 / $602.56	Professional	TC	$177.83	$263.03	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $575.44 / $954.99	Professional		$331.13	$575.44	$954.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $117.49 / $208.93	Professional	26	$87.10	$117.49	$208.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $436.52 / $660.69	Professional	TC	$239.88	$436.52	$660.69
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $457.09 / $870.96	Professional		$371.54	$457.09	$870.96
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $125.89 / $239.88	Professional	26	$100.00	$125.89	$239.88
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $338.84 / $630.96	Professional	TC	$269.15	$338.84	$630.96
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $117.49 / $120.23	Facility	26	$104.71	$117.49	$120.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $416.87 / $851.14	Professional		$295.12	$416.87	$851.14
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $120.23 / $269.15	Professional	26	$85.11	$120.23	$269.15
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $288.40 / $616.60	Professional	TC	$204.17	$288.40	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $912.01	Professional		$302.00	$457.09	$912.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $128.82 / $239.88	Professional	26	$89.13	$128.82	$239.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $323.59 / $660.69	Professional	TC	$213.80	$323.59	$660.69