Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.74 / $351.89 / $590.40	Professional		$293.74	$351.89	$590.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.57 / $101.31 / $163.50	Professional	26	$89.57	$101.31	$163.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $204.15 / $246.44 / $426.90	Professional	TC	$204.15	$246.44	$426.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.31 / $452.95 / $664.46	Professional		$339.31	$452.95	$664.46
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.84 / $133.85 / $193.94	Professional	26	$100.84	$133.85	$193.94
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $239.04 / $317.45 / $470.53	Professional	TC	$239.04	$317.45	$470.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.64 / $580.69 / $800.31	Professional		$423.64	$580.69	$800.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $124.54 / $173.58 / $235.27	Professional	26	$124.54	$173.58	$235.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $299.10 / $389.77 / $565.04	Professional	TC	$299.10	$389.77	$565.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $432.40 / $500.29 / $938.65	Professional		$432.40	$500.29	$938.65
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $127.78 / $147.84 / $277.38	Professional	26	$127.78	$147.84	$277.38
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $304.62 / $352.45 / $661.27	Professional	TC	$304.62	$352.45	$661.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $293.74 / $355.83 / $627.50	Professional		$293.74	$355.83	$627.50
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $89.57 / $109.40 / $163.77	Professional	26	$89.57	$109.40	$163.77
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $204.15 / $246.45 / $463.70	Professional	TC	$204.15	$246.45	$463.70
United Facility/Professional Professional Modifier Low / Median / High Price $346.38 / $456.41 / $851.98	Professional		$346.38	$456.41	$851.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.17 / $142.99 / $245.26	Professional	26	$102.17	$142.99	$245.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $215.32 / $314.08 / $552.51	Professional	TC	$215.32	$314.08	$552.51