Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $446.68 / $446.68 / $446.68	Facility	26	$446.68	$446.68	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $4,265.80	Professional		$1,548.82	$2,041.74	$4,265.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $346.74 / $446.68 / $1,096.48	Professional	26	$346.74	$446.68	$1,096.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1,230.27 / $1,584.89 / $3,548.13	Professional	TC	$1,230.27	$1,584.89	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,570.40 / $3,019.95	Professional		$1,778.28	$2,570.40	$3,019.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $398.11 / $588.84 / $676.08	Professional	26	$398.11	$588.84	$676.08
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $1,380.38 / $1,949.84 / $2,290.87	Professional	TC	$1,380.38	$1,949.84	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,548.13 / $4,570.88	Professional		$2,238.72	$3,548.13	$4,570.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $512.86 / $758.58 / $1,023.29	Professional	26	$512.86	$758.58	$1,023.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,737.80 / $2,754.23 / $3,467.37	Professional	TC	$1,737.80	$2,754.23	$3,467.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,951.21 / $5,623.41	Professional		$2,454.71	$2,951.21	$5,623.41
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $524.81 / $630.96 / $1,202.26	Professional	26	$524.81	$630.96	$1,202.26
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $1,905.46 / $2,290.87 / $4,365.16	Professional	TC	$1,905.46	$2,290.87	$4,365.16
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,290.87 / $5,623.41	Professional		$1,905.46	$2,290.87	$5,623.41
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $371.54 / $512.86 / $1,174.90	Professional	26	$371.54	$512.86	$1,174.90
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $1,548.82 / $1,905.46 / $4,677.35	Professional	TC	$1,548.82	$1,905.46	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,754.23 / $5,011.87	Professional		$1,778.28	$2,754.23	$5,011.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $416.87 / $588.84 / $1,071.52	Professional	26	$416.87	$588.84	$1,071.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $1,380.38 / $2,137.96 / $3,801.89	Professional	TC	$1,380.38	$2,137.96	$3,801.89