Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.25 / $458.97 / $682.63	Professional		$393.25	$458.97	$682.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.71 / $102.77 / $167.18	Professional	26	$90.71	$102.77	$167.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $302.52 / $355.54 / $515.44	Professional	TC	$302.52	$355.54	$515.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.64 / $554.96 / $778.92	Professional		$436.64	$554.96	$778.92
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $108.72 / $140.69 / $199.02	Professional	26	$108.72	$140.69	$199.02
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $327.92 / $409.33 / $579.89	Professional	TC	$327.92	$409.33	$579.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $515.65 / $768.89 / $974.11	Professional		$515.65	$768.89	$974.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $127.75 / $178.89 / $241.32	Professional	26	$127.75	$178.89	$241.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $387.90 / $576.33 / $732.79	Professional	TC	$387.90	$576.33	$732.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $497.94 / $576.12 / $1,080.93	Professional		$497.94	$576.12	$1,080.93
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $130.66 / $151.19 / $283.66	Professional	26	$130.66	$151.19	$283.66
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $367.27 / $424.93 / $797.27	Professional	TC	$367.27	$424.93	$797.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $393.25 / $478.57 / $855.34	Professional		$393.25	$478.57	$855.34
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $90.71 / $112.65 / $233.39	Professional	26	$90.71	$112.65	$233.39
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $302.52 / $365.92 / $621.94	Professional	TC	$302.52	$365.92	$621.94
United Facility/Professional Professional Modifier Low / Median / High Price $424.80 / $634.13 / $1,145.80	Professional		$424.80	$634.13	$1,145.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $105.20 / $146.87 / $231.93	Professional	26	$105.20	$146.87	$231.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $319.60 / $487.26 / $820.34	Professional	TC	$319.60	$487.26	$820.34