Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $162.34 / $162.34 / $162.34	Facility	26	$162.34	$162.34	$162.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.18 / $296.83 / $481.95	Professional		$255.18	$296.83	$481.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.81 / $149.27 / $243.10	Professional	26	$131.81	$149.27	$243.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.37 / $143.78 / $238.86	Professional	TC	$123.37	$143.78	$238.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.67 / $380.05 / $548.11	Professional		$293.67	$380.05	$548.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $156.72 / $202.81 / $288.02	Professional	26	$156.72	$202.81	$288.02
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $136.94 / $178.76 / $260.07	Professional	TC	$136.94	$178.76	$260.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $493.04 / $653.84	Professional		$346.11	$493.04	$653.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $184.44 / $259.07 / $348.43	Professional	26	$184.44	$259.07	$348.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $161.66 / $233.97 / $305.41	Professional	TC	$161.66	$233.97	$305.41
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $361.09 / $417.78 / $783.85	Professional		$361.09	$417.78	$783.85
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $190.44 / $220.34 / $413.41	Professional	26	$190.44	$220.34	$413.41
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $170.65 / $197.44 / $370.45	Professional	TC	$170.65	$197.44	$370.45
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $269.86 / $306.12 / $627.95	Professional		$269.86	$306.12	$627.95
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $137.41 / $162.34 / $277.89	Professional	26	$137.41	$162.34	$277.89
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $132.43 / $152.13 / $288.45	Professional	TC	$132.43	$152.13	$288.45
United Facility/Professional Professional Modifier Low / Median / High Price $277.27 / $398.62 / $686.30	Professional		$277.27	$398.62	$686.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $151.62 / $212.22 / $363.96	Professional	26	$151.62	$212.22	$363.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.02 / $224.96 / $344.24	Professional	TC	$138.02	$224.96	$344.24