Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.54 / $99.54 / $589.96	Facility	26	$99.54	$99.54	$589.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.50 / $219.05 / $308.56	Professional		$193.50	$219.05	$308.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.87 / $86.66 / $133.79	Professional	26	$72.87	$86.66	$133.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $117.43 / $128.99 / $181.42	Professional	TC	$117.43	$128.99	$181.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.46 / $254.25 / $386.32	Professional		$196.46	$254.25	$386.32
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $86.24 / $111.60 / $169.32	Professional	26	$86.24	$111.60	$169.32
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $110.22 / $142.63 / $217.01	Professional	TC	$110.22	$142.63	$217.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.25 / $296.08 / $429.14	Professional		$219.25	$296.08	$429.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.35 / $130.84 / $184.75	Professional	26	$88.35	$130.84	$184.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.01 / $174.28 / $244.39	Professional	TC	$134.01	$174.28	$244.39
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $371.00 / $371.00 / $397.00	Professional		$371.00	$371.00	$397.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $230.42 / $266.60 / $500.20	Professional		$230.42	$266.60	$500.20
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $100.99 / $123.21 / $232.93	Professional	26	$100.99	$123.21	$232.93
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $129.43 / $155.07 / $298.52	Professional	TC	$129.43	$155.07	$298.52
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $99.54 / $114.85 / $589.96	Facility	26	$99.54	$114.85	$589.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $202.22 / $228.53 / $400.14	Professional		$202.22	$228.53	$400.14
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $77.20 / $99.54 / $172.28	Professional	26	$77.20	$99.54	$172.28
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $120.95 / $136.56 / $218.98	Professional	TC	$120.95	$136.56	$218.98
United Facility/Professional Professional Modifier Low / Median / High Price $189.65 / $301.74 / $503.55	Professional		$189.65	$301.74	$503.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.96 / $124.64 / $205.39	Professional	26	$85.96	$124.64	$205.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $114.04 / $159.52 / $266.13	Professional	TC	$114.04	$159.52	$266.13