Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $223.87 / $489.78	Professional		$186.21	$223.87	$489.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $52.48 / $117.49	Professional	26	$41.69	$52.48	$117.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $165.96 / $251.19	Professional	TC	$141.25	$165.96	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $295.12 / $741.31	Professional		$199.53	$295.12	$741.31
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $72.44 / $173.78	Professional	26	$50.12	$72.44	$173.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $218.78 / $524.81	Professional	TC	$147.91	$218.78	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $302.00 / $630.96	Professional		$229.09	$302.00	$630.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $70.79 / $147.91	Professional	26	$52.48	$70.79	$147.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $229.09 / $478.63	Professional	TC	$177.83	$229.09	$478.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $588.84	Professional		$239.88	$302.00	$588.84
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $75.86 / $144.54	Professional	26	$60.26	$75.86	$144.54
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $223.87 / $446.68	Professional	TC	$177.83	$223.87	$446.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $831.76	Professional		$199.53	$269.15	$831.76
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $63.10 / $141.25	Professional	26	$45.71	$63.10	$141.25
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $199.53 / $436.52	Professional	TC	$144.54	$199.53	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $323.59 / $602.56	Professional		$218.78	$323.59	$602.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $79.43 / $141.25	Professional	26	$54.95	$79.43	$141.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $239.88 / $457.09	Professional	TC	$162.18	$239.88	$457.09