Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $426.58 / $870.96	Professional		$316.23	$426.58	$870.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $114.82 / $190.55	Professional	26	$83.18	$114.82	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $302.00 / $616.60	Professional	TC	$229.09	$302.00	$616.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $1,122.02	Professional		$302.00	$446.68	$1,122.02
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $114.82 / $269.15	Professional	26	$79.43	$114.82	$269.15
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $323.59 / $831.76	Professional	TC	$218.78	$323.59	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $660.69 / $1,202.26	Professional		$416.87	$660.69	$1,202.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $109.65 / $229.09	Professional	26	$83.18	$109.65	$229.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $512.86 / $1,000.00	Professional	TC	$275.42	$512.86	$1,000.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $912.01	Professional		$363.08	$467.74	$912.01
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $120.23 / $229.09	Professional	26	$95.50	$120.23	$229.09
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $338.84 / $660.69	Professional	TC	$269.15	$338.84	$660.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $524.81 / $1,096.48	Professional		$371.54	$524.81	$1,096.48
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $131.83 / $269.15	Professional	26	$97.72	$131.83	$269.15
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $371.54 / $933.25	Professional	TC	$263.03	$371.54	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $602.56 / $1,096.48	Professional		$331.13	$602.56	$1,096.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $123.03 / $223.87	Professional	26	$85.11	$123.03	$223.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $457.09 / $776.25	Professional	TC	$245.47	$457.09	$776.25