Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.16 / $262.48 / $372.39	Professional		$228.16	$262.48	$372.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.77 / $48.48 / $68.98	Professional	26	$42.77	$48.48	$68.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $185.40 / $207.76 / $303.39	Professional	TC	$185.40	$207.76	$303.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.73 / $269.10 / $401.21	Professional		$228.73	$269.10	$401.21
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.99 / $58.29 / $85.84	Professional	26	$47.99	$58.29	$85.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $180.72 / $212.62 / $315.39	Professional	TC	$180.72	$212.62	$315.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.72 / $371.56 / $484.38	Professional		$269.72	$371.56	$484.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.17 / $74.54 / $101.23	Professional	26	$56.17	$74.54	$101.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $213.35 / $297.02 / $383.14	Professional	TC	$213.35	$297.02	$383.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $255.15 / $295.20 / $553.88	Professional		$255.15	$295.20	$553.88
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $55.65 / $64.39 / $120.80	Professional	26	$55.65	$64.39	$120.80
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $199.50 / $230.82 / $433.07	Professional	TC	$199.50	$230.82	$433.07
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $228.16 / $262.48 / $372.39	Professional		$228.16	$262.48	$372.39
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $42.77 / $49.92 / $68.98	Professional	26	$42.77	$49.92	$68.98
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $185.40 / $213.20 / $303.39	Professional	TC	$185.40	$213.20	$303.39
United Facility/Professional Professional Modifier Low / Median / High Price $259.51 / $336.84 / $460.43	Professional		$259.51	$336.84	$460.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.73 / $67.69 / $91.01	Professional	26	$47.73	$67.69	$91.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $168.53 / $253.12 / $339.90	Professional	TC	$168.53	$253.12	$339.90