Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $95.50 / $165.96	Facility	26	$79.43	$95.50	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $467.74 / $954.99	Professional		$223.87	$467.74	$954.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $125.89 / $257.04	Professional	26	$70.79	$125.89	$257.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $295.12 / $588.84	Professional	TC	$147.91	$295.12	$588.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $724.44	Professional		$194.98	$288.40	$724.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $100.00 / $223.87	Professional	26	$66.07	$100.00	$223.87
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $186.21 / $478.63	Professional	TC	$125.89	$186.21	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $501.19 / $933.25	Professional		$269.15	$501.19	$933.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $100.00 / $194.98	Professional	26	$69.18	$100.00	$194.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $380.19 / $707.95	Professional	TC	$173.78	$380.19	$707.95
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $295.12 / $588.84	Professional		$234.42	$295.12	$588.84
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $100.00 / $190.55	Professional	26	$79.43	$100.00	$190.55
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $194.98 / $380.19	Professional	TC	$154.88	$194.98	$380.19
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $95.50 / $165.96	Facility	26	$79.43	$95.50	$165.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $436.52 / $954.99	Professional		$257.04	$436.52	$954.99
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $134.90 / $223.87	Professional	26	$75.86	$134.90	$223.87
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $281.84 / $660.69	Professional	TC	$165.96	$281.84	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $407.38 / $724.44	Professional		$213.80	$407.38	$724.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $102.33 / $186.21	Professional	26	$72.44	$102.33	$186.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $275.42 / $501.19	Professional	TC	$141.25	$275.42	$501.19