Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.70 / $90.70 / $90.70	Facility	26	$90.70	$90.70	$90.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.38 / $425.00 / $494.18	Professional		$285.38	$425.00	$494.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.71 / $127.50 / $145.65	Professional	26	$90.71	$127.50	$145.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.67 / $297.50 / $348.53	Professional	TC	$194.67	$297.50	$348.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.21 / $314.74 / $459.58	Professional		$243.21	$314.74	$459.58
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.27 / $102.59 / $155.50	Professional	26	$79.27	$102.59	$155.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $163.77 / $211.94 / $304.08	Professional	TC	$163.77	$211.94	$304.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.04 / $373.81 / $704.71	Professional		$260.04	$373.81	$704.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.39 / $120.32 / $169.74	Professional	26	$86.39	$120.32	$169.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $175.06 / $253.49 / $353.11	Professional	TC	$175.06	$253.49	$353.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $274.11 / $321.58 / $595.04	Professional		$274.11	$321.58	$595.04
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $92.75 / $111.61 / $201.34	Professional	26	$92.75	$111.61	$201.34
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $181.37 / $218.25 / $393.72	Professional	TC	$181.37	$218.25	$393.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $263.22 / $425.00 / $546.25	Professional		$263.22	$425.00	$546.25
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $83.65 / $127.50 / $161.00	Professional	26	$83.65	$127.50	$161.00
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $179.56 / $276.50 / $368.50	Professional	TC	$179.56	$276.50	$368.50
United Facility/Professional Professional Modifier Low / Median / High Price $236.91 / $648.17 / $872.55	Professional		$236.91	$648.17	$872.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.03 / $116.22 / $190.94	Professional	26	$79.03	$116.22	$190.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $157.88 / $405.25 / $732.29	Professional	TC	$157.88	$405.25	$732.29