Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	26	$89.13	$89.13	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $660.69	Professional		$338.84	$398.11	$660.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $79.43 / $169.82	Professional	26	$67.61	$79.43	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $323.59 / $549.54	Professional	TC	$275.42	$323.59	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $812.83	Professional		$380.19	$549.54	$812.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $100.00 / $151.36	Professional	26	$67.61	$100.00	$151.36
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $446.68 / $660.69	Professional	TC	$309.03	$446.68	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $741.31 / $1,047.13	Professional		$501.19	$741.31	$1,047.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $123.03 / $181.97	Professional	26	$89.13	$123.03	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $416.87 / $616.60 / $870.96	Professional	TC	$416.87	$616.60	$870.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $1,071.52	Professional		$478.63	$562.34	$1,071.52
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $104.71 / $199.53	Professional	26	$87.10	$104.71	$199.53
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $389.05 / $457.09 / $891.25	Professional	TC	$389.05	$457.09	$891.25
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	26	$89.13	$89.13	$89.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $870.96	Professional		$354.81	$524.81	$870.96
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $89.13 / $181.97	Professional	26	$70.79	$89.13	$181.97
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $426.58 / $758.58	Professional	TC	$281.84	$426.58	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $575.44 / $1,071.52	Professional		$426.58	$575.44	$1,071.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $109.65 / $154.88	Professional	26	$85.11	$109.65	$154.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $467.74 / $691.83	Professional	TC	$346.74	$467.74	$691.83