Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $446.74 / $446.74 / $446.74	Facility	26	$446.74	$446.74	$446.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,889.42 / $2,114.63 / $3,143.85	Professional		$1,889.42	$2,114.63	$3,143.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $347.37 / $394.14 / $669.34	Professional	26	$347.37	$394.14	$669.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1,542.03 / $1,726.05 / $2,474.75	Professional	TC	$1,542.03	$1,726.05	$2,474.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,901.16 / $2,524.09 / $3,520.11	Professional		$1,901.16	$2,524.09	$3,520.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $431.69 / $558.66 / $794.18	Professional	26	$431.69	$558.66	$794.18
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $1,469.47 / $1,901.66 / $2,725.93	Professional	TC	$1,469.47	$1,901.66	$2,725.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,244.58 / $3,269.88 / $4,240.26	Professional		$2,244.58	$3,269.88	$4,240.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $508.23 / $711.29 / $960.10	Professional	26	$508.23	$711.29	$960.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,736.35 / $2,558.59 / $3,280.16	Professional	TC	$1,736.35	$2,558.59	$3,280.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,291.01 / $2,650.70 / $4,973.32	Professional		$2,291.01	$2,650.70	$4,973.32
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $523.91 / $606.16 / $1,137.30	Professional	26	$523.91	$606.16	$1,137.30
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $1,767.10 / $2,044.53 / $3,836.02	Professional	TC	$1,767.10	$2,044.53	$3,836.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,889.42 / $2,172.83 / $3,381.39	Professional		$1,889.42	$2,172.83	$3,381.39
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $347.37 / $446.74 / $764.91	Professional	26	$347.37	$446.74	$764.91
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $1,542.03 / $1,746.11 / $2,988.10	Professional	TC	$1,542.03	$1,746.11	$2,988.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,794.69 / $2,654.44 / $4,066.31	Professional		$1,794.69	$2,654.44	$4,066.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $417.21 / $585.32 / $1,001.55	Professional	26	$417.21	$585.32	$1,001.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $1,377.48 / $2,283.17 / $3,775.01	Professional	TC	$1,377.48	$2,283.17	$3,775.01