Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $135.43 / $135.43 / $135.43	Facility	26	$135.43	$135.43	$135.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.52 / $364.49 / $548.44	Professional		$335.52	$364.49	$548.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.31 / $116.71 / $184.22	Professional	26	$100.31	$116.71	$184.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.08 / $245.65 / $373.84	Professional	TC	$206.08	$245.65	$373.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.29 / $432.82 / $680.04	Professional		$318.29	$432.82	$680.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $116.84 / $151.19 / $232.90	Professional	26	$116.84	$151.19	$232.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $209.28 / $278.93 / $447.14	Professional	TC	$209.28	$278.93	$447.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.49 / $638.99 / $831.09	Professional		$436.49	$638.99	$831.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $119.88 / $177.60 / $252.47	Professional	26	$119.88	$177.60	$252.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $292.02 / $456.64 / $625.62	Professional	TC	$292.02	$456.64	$625.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $405.60 / $475.85 / $880.48	Professional		$405.60	$475.85	$880.48
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $138.91 / $162.97 / $301.55	Professional	26	$138.91	$162.97	$301.55
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $266.69 / $320.93 / $578.92	Professional	TC	$266.69	$320.93	$578.92
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $335.52 / $388.79 / $700.28	Professional		$335.52	$388.79	$700.28
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $105.59 / $135.43 / $210.59	Professional	26	$105.59	$135.43	$210.59
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $206.08 / $270.49 / $451.24	Professional	TC	$206.08	$270.49	$451.24
United Facility/Professional Professional Modifier Low / Median / High Price $339.40 / $569.49 / $891.98	Professional		$339.40	$569.49	$891.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $117.01 / $169.12 / $298.45	Professional	26	$117.01	$169.12	$298.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $222.39 / $414.18 / $609.58	Professional	TC	$222.39	$414.18	$609.58