Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.67 / $50.67 / $57.84	Facility	26	$50.67	$50.67	$57.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.83 / $488.99 / $718.78	Professional		$411.83	$488.99	$718.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.71 / $41.62 / $64.80	Professional	26	$36.71	$41.62	$64.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $375.12 / $448.71 / $654.91	Professional	TC	$375.12	$448.71	$654.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.34 / $514.52 / $759.20	Professional		$437.34	$514.52	$759.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.12 / $53.97 / $78.84	Professional	26	$44.12	$53.97	$78.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $393.21 / $462.61 / $680.37	Professional	TC	$393.21	$462.61	$680.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.21 / $719.79 / $975.98	Professional		$516.21	$719.79	$975.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.76 / $68.95 / $92.96	Professional	26	$51.76	$68.95	$92.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $464.44 / $650.83 / $878.11	Professional	TC	$464.44	$650.83	$878.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $481.45 / $557.04 / $1,045.13	Professional		$481.45	$557.04	$1,045.13
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $51.53 / $59.62 / $111.86	Professional	26	$51.53	$59.62	$111.86
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $429.92 / $497.42 / $933.27	Professional	TC	$429.92	$497.42	$933.27
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $50.67 / $50.84 / $57.84	Facility	26	$50.67	$50.84	$57.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $436.79 / $511.56 / $742.63	Professional		$436.79	$511.56	$742.63
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $37.74 / $50.67 / $78.20	Professional	26	$37.74	$50.67	$78.20
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $399.06 / $460.88 / $664.42	Professional	TC	$399.06	$460.88	$664.42
United Facility/Professional Professional Modifier Low / Median / High Price $418.04 / $627.69 / $854.53	Professional		$418.04	$627.69	$854.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.53 / $63.64 / $105.50	Professional	26	$51.53	$63.64	$105.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $373.86 / $564.04 / $733.62	Professional	TC	$373.86	$564.04	$733.62