Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.20 / $156.66 / $177.58	Professional		$125.20	$156.66	$177.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.59 / $36.59 / $54.58	Professional	26	$28.59	$36.59	$54.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.08 / $120.09 / $134.97	Professional	TC	$97.08	$120.09	$134.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $205.10 / $281.04	Professional		$158.49	$205.10	$281.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.77 / $48.88 / $67.39	Professional	26	$37.77	$48.88	$67.39
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $120.71 / $156.22 / $213.65	Professional	TC	$120.71	$156.22	$213.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.05 / $213.54 / $335.52	Professional		$140.05	$213.54	$335.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.35 / $51.77 / $79.42	Professional	26	$36.35	$51.77	$79.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $101.27 / $161.77 / $256.10	Professional	TC	$101.27	$161.77	$256.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $180.54 / $216.30 / $320.44	Professional		$180.54	$216.30	$320.44
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $44.11 / $52.85 / $78.29	Professional	26	$44.11	$52.85	$78.29
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $136.44 / $164.19 / $267.49	Professional	TC	$136.44	$164.19	$267.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $137.34 / $174.62 / $262.38	Professional		$137.34	$174.62	$262.38
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $32.57 / $39.64 / $63.71	Professional	26	$32.57	$39.64	$63.71
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $104.76 / $134.19 / $230.86	Professional	TC	$104.76	$134.19	$230.86
United Facility/Professional Professional Modifier Low / Median / High Price $146.66 / $214.12 / $320.44	Professional		$146.66	$214.12	$320.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.82 / $54.13 / $71.26	Professional	26	$37.82	$54.13	$71.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $108.85 / $159.99 / $230.42	Professional	TC	$108.85	$159.99	$230.42