Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.98 / $106.98 / $106.98	Facility	26	$106.98	$106.98	$106.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.23 / $243.78 / $292.32	Professional		$166.23	$243.78	$292.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.82 / $64.62 / $134.26	Professional	26	$56.82	$64.62	$134.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $90.04 / $186.96 / $229.33	Professional	TC	$90.04	$186.96	$229.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.91 / $222.92 / $310.29	Professional		$162.91	$222.92	$310.29
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $88.31 / $124.69 / $172.94	Professional	26	$88.31	$124.69	$172.94
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.51 / $98.20 / $137.34	Professional	TC	$70.51	$98.20	$137.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.82 / $312.17 / $575.76	Professional		$200.82	$312.17	$575.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.05 / $118.07 / $210.39	Professional	26	$74.05	$118.07	$210.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.54 / $139.71 / $464.18	Professional	TC	$89.54	$139.71	$464.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $200.74 / $241.57 / $435.77	Professional		$200.74	$241.57	$435.77
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $112.53 / $135.41 / $244.28	Professional	26	$112.53	$135.41	$244.28
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $88.21 / $107.62 / $203.46	Professional	TC	$88.21	$107.62	$203.46
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $174.65 / $243.78 / $299.29	Professional		$174.65	$243.78	$299.29
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $56.82 / $106.98 / $148.90	Professional	26	$56.82	$106.98	$148.90
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $87.11 / $123.47 / $229.33	Professional	TC	$87.11	$123.47	$229.33
United Facility/Professional Professional Modifier Low / Median / High Price $178.28 / $256.22 / $435.77	Professional		$178.28	$256.22	$435.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.86 / $100.70 / $222.71	Professional	26	$87.86	$100.70	$222.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $73.06 / $164.95 / $213.30	Professional	TC	$73.06	$164.95	$213.30