Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.49 / $568.22 / $777.56	Professional		$463.49	$568.22	$777.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.28 / $73.54 / $103.07	Professional	26	$64.28	$73.54	$103.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $399.20 / $486.54 / $676.14	Professional	TC	$399.20	$486.54	$676.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $483.93 / $569.34 / $881.15	Professional		$483.93	$569.34	$881.15
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.59 / $85.92 / $137.53	Professional	26	$70.59	$85.92	$137.53
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $413.34 / $486.29 / $743.62	Professional	TC	$413.34	$486.29	$743.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $596.59 / $803.19 / $1,026.48	Professional		$596.59	$803.19	$1,026.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.66 / $111.17 / $149.11	Professional	26	$86.66	$111.17	$149.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $509.93 / $692.02 / $877.37	Professional	TC	$509.93	$692.02	$877.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $525.55 / $608.07 / $1,140.89	Professional		$525.55	$608.07	$1,140.89
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $82.03 / $94.91 / $178.07	Professional	26	$82.03	$94.91	$178.07
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $443.53 / $513.16 / $962.81	Professional	TC	$443.53	$513.16	$962.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $500.12 / $568.22 / $810.49	Professional		$500.12	$568.22	$810.49
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $66.84 / $81.67 / $124.78	Professional	26	$66.84	$81.67	$124.78
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $433.27 / $486.54 / $685.71	Professional	TC	$433.27	$486.54	$685.71
United Facility/Professional Professional Modifier Low / Median / High Price $465.93 / $675.34 / $1,140.89	Professional		$465.93	$675.34	$1,140.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.30 / $102.71 / $145.60	Professional	26	$71.30	$102.71	$145.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $394.63 / $608.96 / $869.30	Professional	TC	$394.63	$608.96	$869.30