Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $239.96 / $239.96 / $239.96	Facility	26	$239.96	$239.96	$239.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.44 / $502.89 / $788.94	Professional		$427.44	$502.89	$788.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $188.34 / $213.71 / $359.02	Professional	26	$188.34	$213.71	$359.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $239.11 / $275.01 / $430.21	Professional	TC	$239.11	$275.01	$430.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.47 / $655.56 / $894.01	Professional		$475.47	$655.56	$894.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $232.26 / $300.57 / $426.66	Professional	26	$232.26	$300.57	$426.66
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $243.21 / $322.12 / $467.34	Professional	TC	$243.21	$322.12	$467.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $560.04 / $810.83 / $1,058.00	Professional		$560.04	$810.83	$1,058.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $273.23 / $381.51 / $516.16	Professional	26	$273.23	$381.51	$516.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $286.82 / $429.31 / $541.83	Professional	TC	$286.82	$429.31	$541.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $588.21 / $680.56 / $1,276.89	Professional		$588.21	$680.56	$1,276.89
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $280.70 / $324.77 / $609.37	Professional	26	$280.70	$324.77	$609.37
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $307.50 / $355.78 / $667.52	Professional	TC	$307.50	$355.78	$667.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $427.44 / $514.98 / $1,020.57	Professional		$427.44	$514.98	$1,020.57
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $188.34 / $239.96 / $410.09	Professional	26	$188.34	$239.96	$410.09
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $239.11 / $290.50 / $519.62	Professional	TC	$239.11	$290.50	$519.62
United Facility/Professional Professional Modifier Low / Median / High Price $464.42 / $698.26 / $1,154.53	Professional		$464.42	$698.26	$1,154.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $224.09 / $314.02 / $537.97	Professional	26	$224.09	$314.02	$537.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $255.17 / $384.23 / $545.78	Professional	TC	$255.17	$384.23	$545.78