Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.62 / $130.80 / $2,243.46	Facility	26	$114.62	$130.80	$2,243.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.91 / $421.24 / $578.12	Professional		$374.91	$421.24	$578.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.53 / $99.45 / $159.13	Professional	26	$84.53	$99.45	$159.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $278.01 / $316.17 / $431.44	Professional	TC	$278.01	$316.17	$431.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $361.80 / $461.33 / $711.14	Professional		$361.80	$461.33	$711.14
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $99.04 / $128.24 / $195.58	Professional	26	$99.04	$128.24	$195.58
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $253.84 / $337.63 / $515.55	Professional	TC	$253.84	$337.63	$515.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $452.42 / $592.67 / $819.17	Professional		$452.42	$592.67	$819.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.59 / $150.46 / $213.02	Professional	26	$101.59	$150.46	$213.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $329.16 / $439.54 / $606.15	Professional	TC	$329.16	$439.54	$606.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $424.15 / $490.74 / $920.74	Professional		$424.15	$490.74	$920.74
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $116.65 / $140.38 / $253.22	Professional	26	$116.65	$140.38	$253.22
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $307.50 / $370.03 / $667.52	Professional	TC	$307.50	$370.03	$667.52
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $108.85 / $114.62 / $2,243.46	Facility	26	$108.85	$114.62	$2,243.46
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $388.85 / $447.17 / $729.73	Professional		$388.85	$447.17	$729.73
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $89.59 / $114.63 / $209.09	Professional	26	$89.59	$114.63	$209.09
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $292.63 / $346.45 / $520.63	Professional	TC	$292.63	$346.45	$520.63
United Facility/Professional Professional Modifier Low / Median / High Price $372.78 / $529.60 / $869.17	Professional		$372.78	$529.60	$869.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $98.99 / $143.77 / $236.54	Professional	26	$98.99	$143.77	$236.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $271.04 / $347.77 / $645.73	Professional	TC	$271.04	$347.77	$645.73