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 $318.73 / $385.66 / $619.77	Professional		$318.73	$385.66	$619.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.85 / $52.02 / $76.72	Professional	26	$45.85	$52.02	$76.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $272.87 / $334.82 / $544.17	Professional	TC	$272.87	$334.82	$544.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.64 / $441.94 / $662.57	Professional		$375.64	$441.94	$662.57
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.88 / $63.90 / $94.11	Professional	26	$51.88	$63.90	$94.11
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $318.97 / $375.27 / $568.45	Professional	TC	$318.97	$375.27	$568.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.06 / $631.88 / $812.80	Professional		$447.06	$631.88	$812.80
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 $386.04 / $550.64 / $703.29	Professional	TC	$386.04	$550.64	$703.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $417.97 / $483.59 / $907.33	Professional		$417.97	$483.59	$907.33
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $61.01 / $70.59 / $132.44	Professional	26	$61.01	$70.59	$132.44
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $356.97 / $413.01 / $774.91	Professional	TC	$356.97	$413.01	$774.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $357.42 / $448.91 / $644.65	Professional		$357.42	$448.91	$644.65
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $48.54 / $59.57 / $92.74	Professional	26	$48.54	$59.57	$92.74
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $305.41 / $389.33 / $551.88	Professional	TC	$305.41	$389.33	$551.88
United Facility/Professional Professional Modifier Low / Median / High Price $325.93 / $475.66 / $712.78	Professional		$325.93	$475.66	$712.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.02 / $74.45 / $99.62	Professional	26	$52.02	$74.45	$99.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $315.82 / $402.53 / $613.16	Professional	TC	$315.82	$402.53	$613.16