Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.07 / $44.07 / $44.68	Facility	26	$44.07	$44.07	$44.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $305.11 / $544.33	Professional		$251.87	$305.11	$544.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.17 / $37.64 / $56.92	Professional	26	$33.17	$37.64	$56.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.71 / $268.31 / $488.29	Professional	TC	$218.71	$268.31	$488.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.38 / $388.69 / $576.07	Professional		$330.38	$388.69	$576.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.82 / $47.49 / $69.30	Professional	26	$38.82	$47.49	$69.30
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $291.56 / $343.02 / $506.77	Professional	TC	$291.56	$343.02	$506.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.36 / $542.21 / $700.18	Professional		$382.36	$542.21	$700.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.23 / $60.59 / $81.68	Professional	26	$45.23	$60.59	$81.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $337.13 / $478.57 / $618.50	Professional	TC	$337.13	$478.57	$618.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $366.03 / $423.50 / $794.58	Professional		$366.03	$423.50	$794.58
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $45.34 / $52.46 / $98.42	Professional	26	$45.34	$52.46	$98.42
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $320.69 / $371.04 / $696.15	Professional	TC	$320.69	$371.04	$696.15
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $44.07 / $44.07 / $44.68	Facility	26	$44.07	$44.07	$44.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $384.39 / $564.21	Professional		$251.87	$384.39	$564.21
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $33.17 / $44.07 / $68.70	Professional	26	$33.17	$44.07	$68.70
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $218.71 / $340.32 / $495.49	Professional	TC	$218.71	$340.32	$495.49
United Facility/Professional Professional Modifier Low / Median / High Price $314.50 / $482.78 / $619.54	Professional		$314.50	$482.78	$619.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.42 / $51.73 / $73.30	Professional	26	$38.42	$51.73	$73.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $271.42 / $429.46 / $569.19	Professional	TC	$271.42	$429.46	$569.19