Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.47 / $358.77 / $825.94	Professional		$317.47	$358.77	$825.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.81 / $146.87 / $242.46	Professional	26	$131.81	$146.87	$242.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $185.65 / $209.50 / $583.47	Professional	TC	$185.65	$209.50	$583.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.26 / $588.75 / $876.20	Professional		$450.26	$588.75	$876.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $156.72 / $202.81 / $287.39	Professional	26	$156.72	$202.81	$287.39
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $301.14 / $369.54 / $556.33	Professional	TC	$301.14	$369.54	$556.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $554.89 / $636.84 / $1,048.25	Professional		$554.89	$636.84	$1,048.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $184.44 / $258.48 / $348.43	Professional	26	$184.44	$258.48	$348.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $355.03 / $427.76 / $699.82	Professional	TC	$355.03	$427.76	$699.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $573.78 / $663.86 / $1,245.56	Professional		$573.78	$663.86	$1,245.56
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $190.02 / $219.85 / $412.50	Professional	26	$190.02	$219.85	$412.50
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $383.76 / $444.01 / $833.07	Professional	TC	$383.76	$444.01	$833.07
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $317.47 / $375.78 / $825.94	Professional		$317.47	$375.78	$825.94
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $131.81 / $151.59 / $242.46	Professional	26	$131.81	$151.59	$242.46
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $185.65 / $228.89 / $583.47	Professional	TC	$185.65	$228.89	$583.47
United Facility/Professional Professional Modifier Low / Median / High Price $329.54 / $503.14 / $1,018.40	Professional		$329.54	$503.14	$1,018.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $151.29 / $212.22 / $387.79	Professional	26	$151.29	$212.22	$387.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $236.40 / $291.92 / $647.65	Professional	TC	$236.40	$291.92	$647.65