Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.57 / $59.57 / $59.57	Facility	26	$59.57	$59.57	$59.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.82 / $327.38 / $505.16	Professional		$293.82	$327.38	$505.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.47 / $47.68 / $76.28	Professional	26	$43.47	$47.68	$76.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $250.34 / $278.06 / $428.87	Professional	TC	$250.34	$278.06	$428.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.15 / $390.77 / $578.63	Professional		$332.15	$390.77	$578.63
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.88 / $63.47 / $93.46	Professional	26	$51.88	$63.47	$93.46
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $280.26 / $329.72 / $485.15	Professional	TC	$280.26	$329.72	$485.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.01 / $543.37 / $730.10	Professional		$392.01	$543.37	$730.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.98 / $81.23 / $109.51	Professional	26	$60.98	$81.23	$109.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $331.03 / $462.14 / $625.87	Professional	TC	$331.03	$462.14	$625.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $366.45 / $423.98 / $795.49	Professional		$366.45	$423.98	$795.49
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $60.59 / $70.09 / $131.53	Professional	26	$60.59	$70.09	$131.53
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $305.85 / $353.87 / $663.94	Professional	TC	$305.85	$353.87	$663.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $293.82 / $347.11 / $541.27	Professional		$293.82	$347.11	$541.27
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $43.47 / $50.85 / $85.25	Professional	26	$43.47	$50.85	$85.25
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $250.34 / $299.43 / $517.63	Professional	TC	$250.34	$299.43	$517.63
United Facility/Professional Professional Modifier Low / Median / High Price $315.89 / $468.76 / $795.49	Professional		$315.89	$468.76	$795.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.96 / $75.19 / $124.02	Professional	26	$51.96	$75.19	$124.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $292.39 / $407.14 / $542.85	Professional	TC	$292.39	$407.14	$542.85