Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $239.96 / $239.96 / $239.96	Facility	26	$239.96	$239.96	$239.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.95 / $557.72 / $807.73	Professional		$504.95	$557.72	$807.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $198.28 / $225.01 / $359.02	Professional	26	$198.28	$225.01	$359.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $276.02 / $343.24 / $449.00	Professional	TC	$276.02	$343.24	$449.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $492.41 / $639.46 / $916.91	Professional		$492.41	$639.46	$916.91
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $232.26 / $300.57 / $426.03	Professional	26	$232.26	$300.57	$426.03
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $260.14 / $336.66 / $490.88	Professional	TC	$260.14	$336.66	$490.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $580.41 / $828.77 / $1,096.46	Professional		$580.41	$828.77	$1,096.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $273.23 / $381.51 / $516.16	Professional	26	$273.23	$381.51	$516.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $307.18 / $447.26 / $580.29	Professional	TC	$307.18	$447.26	$580.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $601.40 / $695.82 / $1,305.52	Professional		$601.40	$695.82	$1,305.52
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $280.70 / $324.77 / $609.37	Professional	26	$280.70	$324.77	$609.37
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $320.69 / $371.04 / $696.15	Professional	TC	$320.69	$371.04	$696.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $504.95 / $580.70 / $1,043.14	Professional		$504.95	$580.70	$1,043.14
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $198.28 / $239.96 / $410.09	Professional	26	$198.28	$239.96	$410.09
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $276.02 / $343.24 / $542.19	Professional	TC	$276.02	$343.24	$542.19
United Facility/Professional Professional Modifier Low / Median / High Price $465.26 / $696.40 / $1,235.39	Professional		$465.26	$696.40	$1,235.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $224.09 / $314.02 / $498.23	Professional	26	$224.09	$314.02	$498.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $241.17 / $383.86 / $696.15	Professional	TC	$241.17	$383.86	$696.15