Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.87 / $87.87 / $87.87	Facility	26	$87.87	$87.87	$87.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.64 / $539.90 / $752.15	Professional		$481.64	$539.90	$752.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.73 / $76.81 / $130.86	Professional	26	$67.73	$76.81	$130.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $413.91 / $463.09 / $621.46	Professional	TC	$413.91	$463.09	$621.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.64 / $607.33 / $853.95	Professional		$478.64	$607.33	$853.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.06 / $110.08 / $155.77	Professional	26	$85.06	$110.08	$155.77
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $393.57 / $493.40 / $698.17	Professional	TC	$393.57	$493.40	$698.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.92 / $848.69 / $1,069.10	Professional		$565.92	$848.69	$1,069.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.96 / $138.83 / $188.84	Professional	26	$99.96	$138.83	$188.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $465.23 / $702.80 / $880.27	Professional	TC	$465.23	$702.80	$880.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $544.92 / $630.48 / $1,182.93	Professional		$544.92	$630.48	$1,182.93
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $102.23 / $118.28 / $221.92	Professional	26	$102.23	$118.28	$221.92
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $442.70 / $512.20 / $961.01	Professional	TC	$442.70	$512.20	$961.01
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $481.64 / $540.34 / $806.58	Professional		$481.64	$540.34	$806.58
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $67.73 / $87.87 / $149.38	Professional	26	$67.73	$87.87	$149.38
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $413.91 / $468.45 / $749.80	Professional	TC	$413.91	$468.45	$749.80
United Facility/Professional Professional Modifier Low / Median / High Price $466.76 / $698.47 / $1,184.58	Professional		$466.76	$698.47	$1,184.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.03 / $114.79 / $197.00	Professional	26	$82.03	$114.79	$197.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $384.73 / $644.05 / $1,054.69	Professional	TC	$384.73	$644.05	$1,054.69