Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.14 / $89.76 / $103.51	Facility	26	$86.14	$89.76	$103.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.43 / $523.91 / $717.38	Professional		$433.43	$523.91	$717.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.62 / $76.63 / $116.02	Professional	26	$67.62	$76.63	$116.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $365.81 / $448.84 / $601.36	Professional	TC	$365.81	$448.84	$601.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $473.70 / $557.29 / $825.97	Professional		$473.70	$557.29	$825.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.41 / $96.28 / $141.79	Professional	26	$79.41	$96.28	$141.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $394.28 / $463.86 / $684.17	Professional	TC	$394.28	$463.86	$684.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.03 / $774.07 / $1,003.45	Professional		$548.03	$774.07	$1,003.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.20 / $123.43 / $167.38	Professional	26	$93.20	$123.43	$167.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $455.16 / $650.64 / $836.07	Professional	TC	$455.16	$650.64	$836.07
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $429.00 / $429.00 / $429.00	Professional		$429.00	$429.00	$429.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $521.02 / $602.82 / $1,131.03	Professional		$521.02	$602.82	$1,131.03
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $91.92 / $106.35 / $199.54	Professional	26	$91.92	$106.35	$199.54
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $429.10 / $496.47 / $931.49	Professional	TC	$429.10	$496.47	$931.49
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $86.14 / $89.76 / $103.51	Facility	26	$86.14	$89.76	$103.51
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $478.25 / $541.87 / $767.86	Professional		$478.25	$541.87	$767.86
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $71.50 / $89.76 / $132.97	Professional	26	$71.50	$89.76	$132.97
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $398.89 / $452.11 / $662.92	Professional	TC	$398.89	$452.11	$662.92
United Facility/Professional Professional Modifier Low / Median / High Price $445.07 / $684.11 / $887.99	Professional		$445.07	$684.11	$887.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.29 / $112.65 / $157.97	Professional	26	$78.29	$112.65	$157.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $366.78 / $583.41 / $737.52	Professional	TC	$366.78	$583.41	$737.52