Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $162.18 / $162.18	Facility	26	$162.18	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $549.54	Professional		$234.42	$302.00	$549.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $162.18 / $380.19	Professional	26	$128.82	$162.18	$380.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $141.25 / $269.15	Professional	TC	$109.65	$141.25	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $398.11 / $467.74	Professional		$275.42	$398.11	$467.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $144.54 / $213.80 / $245.47	Professional	26	$144.54	$213.80	$245.47
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $190.55 / $218.78	Professional	TC	$131.83	$190.55	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $691.83	Professional		$346.74	$512.86	$691.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $186.21 / $281.84 / $371.54	Professional	26	$186.21	$281.84	$371.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $234.42 / $323.59	Professional	TC	$162.18	$234.42	$323.59
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $436.52 / $831.76	Professional		$363.08	$436.52	$831.76
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $190.55 / $229.09 / $436.52	Professional	26	$190.55	$229.09	$436.52
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $204.17 / $398.11	Professional	TC	$173.78	$204.17	$398.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $831.76	Professional		$257.04	$331.13	$831.76
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $186.21 / $416.87	Professional	26	$134.90	$186.21	$416.87
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $162.18 / $398.11	Professional	TC	$123.03	$162.18	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $758.58	Professional		$275.42	$407.38	$758.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $151.36 / $213.80 / $389.05	Professional	26	$151.36	$213.80	$389.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $186.21 / $346.74	Professional	TC	$125.89	$186.21	$346.74