Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.12 / $88.12 / $88.50	Facility	26	$88.12	$88.12	$88.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.85 / $378.45 / $661.59	Professional		$342.85	$378.45	$661.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.56 / $75.68 / $112.43	Professional	26	$68.56	$75.68	$112.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $274.27 / $302.76 / $549.13	Professional	TC	$274.27	$302.76	$549.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $429.25 / $505.01 / $806.51	Professional		$429.25	$505.01	$806.51
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $76.59 / $93.70 / $149.97	Professional	26	$76.59	$93.70	$149.97
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $345.39 / $410.21 / $656.55	Professional	TC	$345.39	$410.21	$656.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $502.81 / $724.17 / $981.40	Professional		$502.81	$724.17	$981.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.86 / $118.98 / $161.37	Professional	26	$89.86	$118.98	$161.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $413.04 / $605.19 / $811.51	Professional	TC	$413.04	$605.19	$811.51
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $481.04 / $556.55 / $1,044.24	Professional		$481.04	$556.55	$1,044.24
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $89.45 / $103.49 / $194.18	Professional	26	$89.45	$103.49	$194.18
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $391.59 / $453.07 / $850.06	Professional	TC	$391.59	$453.07	$850.06
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $88.12 / $88.12 / $88.50	Facility	26	$88.12	$88.12	$88.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $352.79 / $468.16 / $707.44	Professional		$352.79	$468.16	$707.44
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $70.56 / $80.59 / $125.95	Professional	26	$70.56	$80.59	$125.95
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $282.23 / $387.57 / $662.75	Professional	TC	$282.23	$387.57	$662.75
United Facility/Professional Professional Modifier Low / Median / High Price $423.27 / $574.91 / $814.71	Professional		$423.27	$574.91	$814.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.50 / $109.71 / $141.86	Professional	26	$91.50	$109.71	$141.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $297.45 / $469.35 / $669.26	Professional	TC	$297.45	$469.35	$669.26