Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.15 / $76.15 / $87.76	Facility	26	$76.15	$76.15	$87.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.87 / $372.19 / $554.99	Professional		$308.87	$372.19	$554.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.15 / $64.81 / $97.16	Professional	26	$57.15	$64.81	$97.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.71 / $308.83 / $457.83	Professional	TC	$251.71	$308.83	$457.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.92 / $399.91 / $597.07	Professional		$339.92	$399.91	$597.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.06 / $81.59 / $120.17	Professional	26	$67.06	$81.59	$120.17
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $272.85 / $321.01 / $476.90	Professional	TC	$272.85	$321.01	$476.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.06 / $555.48 / $720.31	Professional		$396.06	$555.48	$720.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.84 / $105.02 / $141.58	Professional	26	$78.84	$105.02	$141.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $317.33 / $450.45 / $578.73	Professional	TC	$317.33	$450.45	$578.73
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $378.40 / $437.81 / $821.43	Professional		$378.40	$437.81	$821.43
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $77.91 / $90.14 / $169.13	Professional	26	$77.91	$90.14	$169.13
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $300.49 / $347.67 / $652.29	Professional	TC	$300.49	$347.67	$652.29
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $87.76 / $87.76 / $87.76	Facility	26	$87.76	$87.76	$87.76
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $308.87 / $372.19 / $554.99	Professional		$308.87	$372.19	$554.99
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $57.15 / $70.50 / $109.82	Professional	26	$57.15	$70.50	$109.82
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $251.71 / $308.83 / $464.45	Professional	TC	$251.71	$308.83	$464.45
United Facility/Professional Professional Modifier Low / Median / High Price $383.82 / $478.17 / $641.74	Professional		$383.82	$478.17	$641.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.91 / $96.05 / $136.36	Professional	26	$77.91	$96.05	$136.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $253.42 / $395.30 / $533.34	Professional	TC	$253.42	$395.30	$533.34