Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $137.21 / $137.21 / $137.21	Facility	26	$137.21	$137.21	$137.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.87 / $290.08 / $380.51	Professional		$227.87	$290.08	$380.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.75 / $121.82 / $176.08	Professional	26	$105.75	$121.82	$176.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $111.79 / $184.34 / $217.84	Professional	TC	$111.79	$184.34	$217.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.60 / $457.84 / $593.63	Professional		$219.60	$457.84	$593.63
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $110.38 / $153.93 / $213.65	Professional	26	$110.38	$153.93	$213.65
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $106.42 / $341.22 / $432.16	Professional	TC	$106.42	$341.22	$432.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.38 / $712.09 / $1,005.46	Professional		$410.38	$712.09	$1,005.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $116.72 / $177.00 / $254.50	Professional	26	$116.72	$177.00	$254.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $293.66 / $526.10 / $750.96	Professional	TC	$293.66	$526.10	$750.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $515.25 / $620.03 / $1,118.50	Professional		$515.25	$620.03	$1,118.50
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $140.15 / $168.64 / $304.24	Professional	26	$140.15	$168.64	$304.24
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $375.10 / $451.39 / $814.27	Professional	TC	$375.10	$451.39	$814.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $238.88 / $319.45 / $524.85	Professional		$238.88	$319.45	$524.85
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $105.75 / $125.98 / $250.92	Professional	26	$105.75	$125.98	$250.92
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $190.35 / $229.68	Professional	TC	$119.70	$190.35	$229.68
United Facility/Professional Professional Modifier Low / Median / High Price $448.02 / $658.95 / $1,129.04	Professional		$448.02	$658.95	$1,129.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $118.47 / $172.16 / $283.10	Professional	26	$118.47	$172.16	$283.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $362.34 / $517.75 / $845.94	Professional	TC	$362.34	$517.75	$845.94