Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.78 / $703.09 / $759.24	Facility		$494.78	$703.09	$759.24
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.22 / $46.22 / $103.50	Facility	26	$46.22	$46.22	$103.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.62 / $139.65 / $236.26	Professional		$122.62	$139.65	$236.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $39.39 / $65.31	Professional	26	$34.67	$39.39	$65.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.05 / $99.56 / $136.27	Professional	TC	$84.05	$99.56	$136.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $376.09 / $519.49 / $852.60	Facility		$376.09	$519.49	$852.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.60 / $161.24 / $221.90	Professional		$124.60	$161.24	$221.90
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.22 / $52.07 / $71.84	Professional	26	$40.22	$52.07	$71.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $84.36 / $109.17 / $150.06	Professional	TC	$84.36	$109.17	$150.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.66 / $184.00 / $263.76	Professional		$135.66	$184.00	$263.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.63 / $59.50 / $84.69	Professional	26	$38.63	$59.50	$84.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $88.92 / $123.37 / $179.08	Professional	TC	$88.92	$123.37	$179.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $142.62 / $170.87 / $253.14	Professional		$142.62	$170.87	$253.14
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $46.99 / $54.37 / $83.40	Professional	26	$46.99	$54.37	$83.40
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $95.63 / $115.08 / $187.48	Professional	TC	$95.63	$115.08	$187.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $314.86 / $641.70 / $945.31	Facility		$314.86	$641.70	$945.31
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $46.22 / $52.68 / $103.50	Facility	26	$46.22	$52.68	$103.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $122.62 / $139.65 / $241.63	Professional		$122.62	$139.65	$241.63
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $46.22 / $71.25	Professional	26	$34.67	$46.22	$71.25
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $87.95 / $99.56 / $147.63	Professional	TC	$87.95	$99.56	$147.63
United Facility/Professional Professional Modifier Low / Median / High Price $116.05 / $168.11 / $237.72	Professional		$116.05	$168.11	$237.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.28 / $57.68 / $76.03	Professional	26	$40.28	$57.68	$76.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.77 / $110.43 / $161.69	Professional	TC	$75.77	$110.43	$161.69