Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $60.26 / $60.26	Facility	26	$60.26	$60.26	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $316.23 / $467.74	Professional		$257.04	$316.23	$467.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $50.12 / $112.20	Professional	26	$40.74	$50.12	$112.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $269.15 / $407.38	Professional	TC	$213.80	$269.15	$407.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $562.34	Professional		$288.40	$426.58	$562.34
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $67.61 / $87.10	Professional	26	$45.71	$67.61	$87.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $346.74 / $467.74	Professional	TC	$239.88	$346.74	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $794.33	Professional		$380.19	$562.34	$794.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $83.18 / $123.03	Professional	26	$61.66	$83.18	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $478.63 / $676.08	Professional	TC	$323.59	$478.63	$676.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $426.58 / $812.83	Professional		$363.08	$426.58	$812.83
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $70.79 / $138.04	Professional	26	$60.26	$70.79	$138.04
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $354.81 / $691.83	Professional	TC	$302.00	$354.81	$691.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $380.19 / $707.95	Professional		$295.12	$380.19	$707.95
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $58.88 / $131.83	Professional	26	$44.67	$58.88	$131.83
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $323.59 / $616.60	Professional	TC	$263.03	$323.59	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $467.74 / $812.83	Professional		$354.81	$467.74	$812.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $72.44 / $107.15	Professional	26	$57.54	$72.44	$107.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $398.11 / $549.54	Professional	TC	$295.12	$398.11	$549.54