Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $130.33 / $130.33 / $130.33	Facility	26	$130.33	$130.33	$130.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.31 / $475.00 / $589.03	Professional		$377.31	$475.00	$589.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.16 / $140.00 / $168.71	Professional	26	$111.16	$140.00	$168.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $266.14 / $335.00 / $431.70	Professional	TC	$266.14	$335.00	$431.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.63 / $495.17 / $719.44	Professional		$382.63	$495.17	$719.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $113.36 / $146.69 / $225.30	Professional	26	$113.36	$146.69	$225.30
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $260.02 / $347.62 / $494.14	Professional	TC	$260.02	$347.62	$494.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.26 / $590.24 / $943.28	Professional		$412.26	$590.24	$943.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $123.56 / $172.05 / $243.80	Professional	26	$123.56	$172.05	$243.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $288.70 / $417.98 / $579.47	Professional	TC	$288.70	$417.98	$579.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $429.10 / $516.36 / $931.49	Professional		$429.10	$516.36	$931.49
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $134.38 / $161.69 / $291.70	Professional	26	$134.38	$161.69	$291.70
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $294.72 / $354.65 / $639.78	Professional	TC	$294.72	$354.65	$639.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $412.54 / $494.18 / $659.15	Professional		$412.54	$494.18	$659.15
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $120.69 / $140.00 / $203.44	Professional	26	$120.69	$140.00	$203.44
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $291.85 / $335.00 / $455.73	Professional	TC	$291.85	$335.00	$455.73
United Facility/Professional Professional Modifier Low / Median / High Price $402.88 / $744.05 / $1,003.17	Professional		$402.88	$744.05	$1,003.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $133.38 / $271.33	Professional	26	$100.00	$133.38	$271.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $260.25 / $623.16 / $752.10	Professional	TC	$260.25	$623.16	$752.10