Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.26 / $222.47 / $363.48	Professional		$186.26	$222.47	$363.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.06 / $53.30 / $63.21	Professional	26	$42.06	$53.30	$63.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.19 / $169.17 / $208.75	Professional	TC	$144.19	$169.17	$208.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.85 / $290.98 / $419.50	Professional		$224.85	$290.98	$419.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.71 / $70.80 / $107.12	Professional	26	$54.71	$70.80	$107.12
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $170.13 / $220.17 / $312.38	Professional	TC	$170.13	$220.17	$312.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.22 / $344.60 / $483.90	Professional		$240.22	$344.60	$483.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.83 / $83.39 / $117.07	Professional	26	$59.83	$83.39	$117.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $180.39 / $261.20 / $366.83	Professional	TC	$180.39	$261.20	$366.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $250.21 / $301.08 / $543.16	Professional		$250.21	$301.08	$543.16
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $63.89 / $76.89 / $138.69	Professional	26	$63.89	$76.89	$138.69
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $186.31 / $227.30 / $429.72	Professional	TC	$186.31	$227.30	$429.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $200.75 / $263.95 / $1,016.00	Professional		$200.75	$263.95	$1,016.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $42.76 / $58.20 / $114.62	Professional	26	$42.76	$58.20	$114.62
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $166.97 / $200.75 / $315.42	Professional	TC	$166.97	$200.75	$315.42
United Facility/Professional Professional Modifier Low / Median / High Price $217.82 / $321.08 / $549.51	Professional		$217.82	$321.08	$549.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.44 / $79.13 / $131.60	Professional	26	$56.44	$79.13	$131.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $162.81 / $250.61 / $446.30	Professional	TC	$162.81	$250.61	$446.30