Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.26 / $99.26 / $99.26	Facility	26	$99.26	$99.26	$99.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.62 / $293.00 / $386.71	Professional		$264.62	$293.00	$386.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.00 / $84.04 / $126.73	Professional	26	$73.00	$84.04	$126.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $185.65 / $205.83 / $259.95	Professional	TC	$185.65	$205.83	$259.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $321.58 / $479.62	Professional		$248.50	$321.58	$479.62
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.72 / $111.15 / $168.63	Professional	26	$79.72	$111.15	$168.63
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $162.01 / $209.67 / $311.00	Professional	TC	$162.01	$209.67	$311.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.11 / $403.77 / $533.79	Professional		$265.11	$403.77	$533.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.11 / $130.19 / $185.02	Professional	26	$88.11	$130.19	$185.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.61 / $288.33 / $356.87	Professional	TC	$173.61	$288.33	$356.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $286.07 / $344.24 / $621.00	Professional		$286.07	$344.24	$621.00
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $100.58 / $121.03 / $218.34	Professional	26	$100.58	$121.03	$218.34
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $185.49 / $223.21 / $402.66	Professional	TC	$185.49	$223.21	$402.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $264.62 / $304.31 / $494.54	Professional		$264.62	$304.31	$494.54
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $73.00 / $91.72 / $180.73	Professional	26	$73.00	$91.72	$180.73
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $183.45 / $218.08 / $313.81	Professional	TC	$183.45	$218.08	$313.81
United Facility/Professional Professional Modifier Low / Median / High Price $235.00 / $386.67 / $627.83	Professional		$235.00	$386.67	$627.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.76 / $123.87 / $218.75	Professional	26	$85.76	$123.87	$218.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $164.21 / $279.47 / $409.08	Professional	TC	$164.21	$279.47	$409.08