Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.14 / $57.14 / $57.14	Facility	26	$57.14	$57.14	$57.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.32 / $322.95 / $567.41	Professional		$267.32	$322.95	$567.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.47 / $49.34 / $73.18	Professional	26	$43.47	$49.34	$73.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.84 / $274.68 / $495.22	Professional	TC	$223.84	$274.68	$495.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.56 / $406.55 / $604.05	Professional		$345.56	$406.55	$604.05
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.41 / $60.88 / $89.66	Professional	26	$49.41	$60.88	$89.66
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $296.14 / $348.42 / $514.41	Professional	TC	$296.14	$348.42	$514.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.76 / $565.07 / $732.49	Professional		$400.76	$565.07	$732.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.05 / $77.88 / $104.24	Professional	26	$58.05	$77.88	$104.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $342.22 / $487.19 / $628.25	Professional	TC	$342.22	$487.19	$628.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $383.35 / $387.18 / $832.18	Professional		$383.35	$387.18	$832.18
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $58.12 / $67.23 / $126.17	Professional	26	$58.12	$67.23	$126.17
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $325.23 / $376.29 / $706.01	Professional	TC	$325.23	$376.29	$706.01
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $267.32 / $399.91 / $590.85	Professional		$267.32	$399.91	$590.85
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $43.47 / $57.14 / $88.33	Professional	26	$43.47	$57.14	$88.33
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $223.84 / $342.75 / $502.51	Professional	TC	$223.84	$342.75	$502.51
United Facility/Professional Professional Modifier Low / Median / High Price $327.87 / $484.88 / $649.37	Professional		$327.87	$484.88	$649.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.83 / $71.78 / $94.86	Professional	26	$49.83	$71.78	$94.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $278.04 / $413.10 / $554.51	Professional	TC	$278.04	$413.10	$554.51