Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.85 / $477.85 / $477.85	Professional		$477.85	$477.85	$477.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.65 / $48.65 / $48.65	Professional	26	$48.65	$48.65	$48.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $429.21 / $429.21 / $493.29	Professional	TC	$429.21	$429.21	$493.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.21 / $988.67 / $1,744.29	Professional		$252.21	$988.67	$1,744.29
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.26 / $91.02 / $106.81	Professional	26	$23.26	$91.02	$106.81
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $228.96 / $897.67 / $1,086.91	Professional	TC	$228.96	$897.67	$1,086.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $502.43 / $589.85 / $697.38	Professional		$502.43	$589.85	$697.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.39 / $56.43 / $77.98	Professional	26	$32.39	$56.43	$77.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $351.04 / $515.90 / $619.40	Professional	TC	$351.04	$515.90	$619.40
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $691.26 / $829.51 / $1,500.59	Professional		$691.26	$829.51	$1,500.59
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $69.66 / $83.59 / $151.22	Professional	26	$69.66	$83.59	$151.22
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $621.60 / $745.92 / $1,349.37	Professional	TC	$621.60	$745.92	$1,349.37
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $477.85 / $477.85 / $498.21	Professional		$477.85	$477.85	$498.21
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $48.65 / $48.65 / $53.12	Professional	26	$48.65	$48.65	$53.12
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $429.21 / $445.09 / $493.29	Professional	TC	$429.21	$445.09	$493.29
United Facility/Professional Professional Modifier Low / Median / High Price $350.84 / $799.79 / $1,434.03	Professional		$350.84	$799.79	$1,434.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.53 / $100.43 / $146.00	Professional	26	$33.53	$100.43	$146.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $317.31 / $725.17 / $1,357.54	Professional	TC	$317.31	$725.17	$1,357.54