Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $944.35 / $1,069.82 / $1,475.10	Professional		$944.35	$1,069.82	$1,475.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.96 / $116.04 / $148.09	Professional	26	$94.96	$116.04	$148.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $849.37 / $953.78 / $1,329.36	Professional	TC	$849.37	$953.78	$1,329.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $918.45 / $1,080.54 / $1,660.71	Professional		$918.45	$1,080.54	$1,660.71
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.84 / $123.49 / $197.65	Professional	26	$100.84	$123.49	$197.65
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $817.15 / $961.36 / $1,463.06	Professional	TC	$817.15	$961.36	$1,463.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.17 / $1,510.13 / $1,947.98	Professional		$1,132.17	$1,510.13	$1,947.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $124.08 / $158.93 / $213.49	Professional	26	$124.08	$158.93	$213.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,008.09 / $1,351.20 / $1,734.48	Professional	TC	$1,008.09	$1,351.20	$1,734.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $990.52 / $1,146.03 / $2,150.21	Professional		$990.52	$1,146.03	$2,150.21
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $117.89 / $136.40 / $255.92	Professional	26	$117.89	$136.40	$255.92
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $872.63 / $1,009.63 / $1,894.31	Professional	TC	$872.63	$1,009.63	$1,894.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $944.35 / $1,069.82 / $1,475.10	Professional		$944.35	$1,069.82	$1,475.10
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $103.27 / $106.15 / $165.38	Professional	26	$103.27	$106.15	$165.38
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $863.48 / $953.78 / $1,329.36	Professional	TC	$863.48	$953.78	$1,329.36
United Facility/Professional Professional Modifier Low / Median / High Price $874.91 / $1,268.46 / $1,688.10	Professional		$874.91	$1,268.46	$1,688.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $121.58 / $145.94 / $191.27	Professional	26	$121.58	$145.94	$191.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $862.97 / $1,193.76 / $1,700.41	Professional	TC	$862.97	$1,193.76	$1,700.41