Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $475.00 / $600.00	Professional		$370.50	$475.00	$600.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.15 / $140.00 / $167.00	Professional	26	$111.15	$140.00	$167.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.35 / $335.00 / $433.00	Professional	TC	$259.35	$335.00	$433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.80 / $437.16 / $635.12	Professional		$337.80	$437.16	$635.12
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.72 / $111.15 / $167.94	Professional	26	$79.72	$111.15	$167.94
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $246.68 / $325.69 / $467.18	Professional	TC	$246.68	$325.69	$467.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.66 / $598.09 / $977.68	Professional		$415.66	$598.09	$977.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.91 / $130.16 / $183.99	Professional	26	$82.91	$130.16	$183.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $309.19 / $454.98 / $786.03	Professional	TC	$309.19	$454.98	$786.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $378.81 / $455.84 / $822.32	Professional		$378.81	$455.84	$822.32
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $100.16 / $120.53 / $217.43	Professional	26	$100.16	$120.53	$217.43
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $278.64 / $335.31 / $604.89	Professional	TC	$278.64	$335.31	$604.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $366.15 / $522.50 / $1,001.46	Professional		$366.15	$522.50	$1,001.46
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $90.24 / $140.51 / $179.69	Professional	26	$90.24	$140.51	$179.69
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $269.16 / $368.85 / $471.71	Professional	TC	$269.16	$368.85	$471.71
United Facility/Professional Professional Modifier Low / Median / High Price $329.76 / $613.77 / $846.02	Professional		$329.76	$613.77	$846.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.60 / $123.66 / $218.45	Professional	26	$85.60	$123.66	$218.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $268.51 / $490.11 / $669.28	Professional	TC	$268.51	$490.11	$669.28