Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $165.96 / $165.96 / $165.96	Facility	26	$165.96	$165.96	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $2,290.87	Professional		$371.54	$478.63	$2,290.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $190.55 / $416.87	Professional	26	$114.82	$190.55	$416.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $338.84 / $660.69	Professional	TC	$257.04	$338.84	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $1,258.93	Professional		$363.08	$524.81	$1,258.93
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $169.82 / $398.11	Professional	26	$117.49	$169.82	$398.11
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $354.81 / $851.14	Professional	TC	$245.47	$354.81	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $776.25 / $1,258.93	Professional		$501.19	$776.25	$1,258.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $165.96 / $346.74	Professional	26	$123.03	$165.96	$346.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $562.34 / $1,000.00	Professional	TC	$302.00	$562.34	$1,000.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $1,096.48	Professional		$436.52	$562.34	$1,096.48
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $144.54 / $181.97 / $346.74	Professional	26	$144.54	$181.97	$346.74
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $371.54 / $741.31	Professional	TC	$295.12	$371.54	$741.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $602.56 / $1,318.26	Professional		$398.11	$602.56	$1,318.26
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $190.55 / $416.87	Professional	26	$123.03	$190.55	$416.87
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $416.87 / $870.96	Professional	TC	$269.15	$416.87	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $602.56 / $1,148.15	Professional		$398.11	$602.56	$1,148.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $181.97 / $331.13	Professional	26	$125.89	$181.97	$331.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $407.38 / $794.33	Professional	TC	$269.15	$407.38	$794.33