Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.19 / $365.19 / $365.19	Professional		$365.19	$365.19	$365.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.04 / $41.04 / $41.04	Professional	26	$41.04	$41.04	$41.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $324.14 / $324.14 / $351.67	Professional	TC	$324.14	$324.14	$351.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.60 / $713.44 / $1,522.72	Professional		$177.60	$713.44	$1,522.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.23 / $75.76 / $89.01	Professional	26	$19.23	$75.76	$89.01
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $158.36 / $637.67 / $939.84	Professional	TC	$158.36	$637.67	$939.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.93 / $442.41 / $589.16	Professional		$353.93	$442.41	$589.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.83 / $46.94 / $88.45	Professional	26	$29.83	$46.94	$88.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $253.18 / $366.52 / $999.17	Professional	TC	$253.18	$366.52	$999.17
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $501.24 / $601.49 / $1,088.08	Professional		$501.24	$601.49	$1,088.08
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $58.12 / $69.73 / $126.17	Professional	26	$58.12	$69.73	$126.17
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $443.12 / $531.74 / $961.92	Professional	TC	$443.12	$531.74	$961.92
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $361.59 / $361.59 / $365.19	Professional		$361.59	$361.59	$365.19
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $41.04 / $41.04 / $44.28	Professional	26	$41.04	$41.04	$44.28
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $317.30 / $324.14 / $351.67	Professional	TC	$317.30	$324.14	$351.67
United Facility/Professional Professional Modifier Low / Median / High Price $253.75 / $561.80 / $1,095.95	Professional		$253.75	$561.80	$1,095.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.92 / $73.08 / $123.17	Professional	26	$27.92	$73.08	$123.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $225.83 / $510.04 / $972.78	Professional	TC	$225.83	$510.04	$972.78