Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $575.44	Professional		$204.17	$263.03	$575.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $67.61 / $138.04	Professional	26	$52.48	$67.61	$138.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $190.55 / $512.86	Professional	TC	$147.91	$190.55	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $371.54	Professional		$208.93	$309.03	$371.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $87.10 / $102.33	Professional	26	$57.54	$87.10	$102.33
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $223.87 / $269.15	Professional	TC	$151.36	$223.87	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $575.44	Professional		$281.84	$426.58	$575.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $102.33 / $151.36	Professional	26	$74.13	$102.33	$151.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $309.03 / $501.19	Professional	TC	$208.93	$309.03	$501.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $323.59 / $630.96	Professional		$275.42	$323.59	$630.96
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $89.13 / $169.82	Professional	26	$74.13	$89.13	$169.82
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $234.42 / $457.09	Professional	TC	$199.53	$234.42	$457.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $416.87 / $2,398.83	Professional		$257.04	$416.87	$2,398.83
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $72.44 / $186.21	Professional	26	$54.95	$72.44	$186.21
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $316.23 / $2,187.76	Professional	TC	$190.55	$316.23	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $630.96	Professional		$218.78	$316.23	$630.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $89.13 / $158.49	Professional	26	$63.10	$89.13	$158.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $229.09 / $457.09	Professional	TC	$154.88	$229.09	$457.09