Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $114.82 / $323.59	Facility	26	$107.15	$114.82	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $204.17 / $457.09	Professional		$144.54	$204.17	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $114.82 / $269.15	Professional	26	$75.86	$114.82	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $338.84	Professional		$165.96	$251.19	$338.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $125.89 / $169.82	Professional	26	$83.18	$125.89	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $407.38	Professional		$208.93	$269.15	$407.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $128.82 / $204.17	Professional	26	$83.18	$128.82	$204.17
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $288.40 / $363.08	Professional		$269.15	$288.40	$363.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $512.86	Professional		$190.55	$275.42	$512.86
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $147.91 / $257.04	Professional	26	$109.65	$147.91	$257.04
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $114.82 / $323.59	Facility	26	$107.15	$114.82	$323.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $457.09	Professional		$165.96	$223.87	$457.09
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $125.89 / $251.19	Professional	26	$83.18	$125.89	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $501.19	Professional		$169.82	$263.03	$501.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $138.04 / $245.47	Professional	26	$87.10	$138.04	$245.47