Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $135.15 / $135.15 / $154.15	Facility	26	$135.15	$135.15	$154.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.24 / $414.14 / $507.59	Professional		$341.24	$414.14	$507.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.37 / $120.33 / $172.62	Professional	26	$104.37	$120.33	$172.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.08 / $309.76 / $380.16	Professional	TC	$206.08	$309.76	$380.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.70 / $451.24 / $864.57	Professional		$323.70	$451.24	$864.57
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $116.59 / $151.65 / $230.83	Professional	26	$116.59	$151.65	$230.83
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $188.76 / $326.33 / $633.74	Professional	TC	$188.76	$326.33	$633.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $538.76 / $720.17 / $968.35	Professional		$538.76	$720.17	$968.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $116.16 / $177.84 / $250.69	Professional	26	$116.16	$177.84	$250.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $392.53 / $573.92 / $718.03	Professional	TC	$392.53	$573.92	$718.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $515.66 / $620.53 / $1,119.39	Professional		$515.66	$620.53	$1,119.39
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $137.66 / $165.68 / $298.85	Professional	26	$137.66	$165.68	$298.85
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $377.99 / $454.85 / $820.54	Professional	TC	$377.99	$454.85	$820.54
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $135.15 / $135.57 / $154.15	Facility	26	$135.15	$135.57	$154.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $341.24 / $431.83 / $586.48	Professional		$341.24	$431.83	$586.48
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $110.81 / $135.15 / $208.47	Professional	26	$110.81	$135.15	$208.47
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $206.08 / $300.18 / $383.89	Professional	TC	$206.08	$300.18	$383.89
United Facility/Professional Professional Modifier Low / Median / High Price $416.73 / $540.91 / $1,119.39	Professional		$416.73	$540.91	$1,119.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $119.62 / $170.26 / $297.85	Professional	26	$119.62	$170.26	$297.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $299.89 / $370.04 / $820.54	Professional	TC	$299.89	$370.04	$820.54