Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.56 / $41.24 / $234.05	Facility	26	$39.56	$41.24	$234.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.52 / $350.49 / $534.14	Professional		$300.52	$350.49	$534.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.39 / $34.39 / $53.23	Professional	26	$30.39	$34.39	$53.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $270.12 / $316.08 / $481.78	Professional	TC	$270.12	$316.08	$481.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.08 / $382.46 / $565.91	Professional		$325.08	$382.46	$565.91
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.35 / $44.47 / $65.50	Professional	26	$36.35	$44.47	$65.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $288.74 / $339.70 / $500.41	Professional	TC	$288.74	$339.70	$500.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.61 / $534.41 / $723.66	Professional		$383.61	$534.41	$723.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.55 / $56.68 / $76.42	Professional	26	$42.55	$56.68	$76.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $341.06 / $477.73 / $644.83	Professional	TC	$341.06	$477.73	$644.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $358.61 / $414.91 / $778.47	Professional		$358.61	$414.91	$778.47
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $42.46 / $49.13 / $92.17	Professional	26	$42.46	$49.13	$92.17
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $316.16 / $365.80 / $686.32	Professional	TC	$316.16	$365.80	$686.32
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $39.56 / $41.24 / $234.05	Facility	26	$39.56	$41.24	$234.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $318.62 / $356.45 / $552.98	Professional		$318.62	$356.45	$552.98
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $31.26 / $41.24 / $64.29	Professional	26	$31.26	$41.24	$64.29
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $287.36 / $323.10 / $488.68	Professional	TC	$287.36	$323.10	$488.68
United Facility/Professional Professional Modifier Low / Median / High Price $309.74 / $462.87 / $608.84	Professional		$309.74	$462.87	$608.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.15 / $52.14 / $69.22	Professional	26	$43.15	$52.14	$69.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $273.77 / $410.73 / $539.62	Professional	TC	$273.77	$410.73	$539.62