Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $239.88 / $354.81	Professional		$128.82	$239.88	$354.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $309.03 / $1,778.28	Professional	26	$52.48	$309.03	$1,778.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $177.83 / $245.47	Professional	TC	$83.18	$177.83	$245.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $457.09 / $537.03	Professional		$112.20	$457.09	$537.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $128.82 / $154.88	Professional	26	$35.48	$128.82	$154.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $316.23 / $389.05	Professional	TC	$81.28	$316.23	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $281.84 / $707.95	Professional		$165.96	$281.84	$707.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $104.71 / $199.53	Professional	26	$66.07	$104.71	$199.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $204.17 / $512.86	Professional	TC	$89.13	$204.17	$512.86
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $346.74 / $616.60	Professional		$251.19	$346.74	$616.60
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $426.58 / $794.33	Professional		$346.74	$426.58	$794.33
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $117.49 / $213.80	Professional	26	$95.50	$117.49	$213.80
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $309.03 / $575.44	Professional	TC	$251.19	$309.03	$575.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $707.95	Professional		$190.55	$316.23	$707.95
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $281.84 / $1,122.02	Professional	26	$69.18	$281.84	$1,122.02
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $229.09 / $501.19	Professional	TC	$131.83	$229.09	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $416.87 / $776.25	Professional		$263.03	$416.87	$776.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $123.03 / $213.80	Professional	26	$46.77	$123.03	$213.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $302.00 / $562.34	Professional	TC	$125.89	$302.00	$562.34