Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.04 / $138.04 / $138.04	Facility	26	$138.04	$138.04	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $371.54	Professional		$204.17	$263.03	$371.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $120.23 / $169.82	Professional	26	$85.11	$120.23	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $125.89 / $245.47	Professional	TC	$100.00	$125.89	$245.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $338.84 / $794.33	Professional		$213.80	$338.84	$794.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $158.49 / $281.84	Professional	26	$109.65	$158.49	$281.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $165.96 / $501.19	Professional	TC	$102.33	$165.96	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $954.99	Professional		$407.38	$602.56	$954.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $154.88 / $234.42	Professional	26	$114.82	$154.88	$234.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $436.52 / $691.83	Professional	TC	$295.12	$436.52	$691.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $1,230.27	Professional		$489.78	$630.96	$1,230.27
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $169.82 / $316.23	Professional	26	$134.90	$169.82	$316.23
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $363.08 / $457.09 / $891.25	Professional	TC	$363.08	$457.09	$891.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $630.96	Professional		$223.87	$302.00	$630.96
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $138.04 / $288.40	Professional	26	$104.71	$138.04	$288.40
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $151.36 / $323.59	Professional	TC	$104.71	$151.36	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $1,230.27	Professional		$446.68	$660.69	$1,230.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $169.82 / $316.23	Professional	26	$117.49	$169.82	$316.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $489.78 / $912.01	Professional	TC	$309.03	$489.78	$912.01