Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.78 / $227.78 / $376.96	Professional		$227.78	$227.78	$376.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.90 / $69.91 / $108.48	Professional	26	$69.90	$69.91	$108.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $157.87 / $157.87 / $268.47	Professional	TC	$157.87	$157.87	$268.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.28 / $453.47 / $851.16	Professional		$116.28	$453.47	$851.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.94 / $130.27 / $155.52	Professional	26	$32.94	$130.27	$155.52
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.33 / $323.19 / $398.67	Professional	TC	$83.33	$323.19	$398.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.22 / $280.08 / $570.72	Professional		$134.22	$280.08	$570.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.02 / $86.71 / $187.30	Professional	26	$51.02	$86.71	$187.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $123.81 / $203.48 / $474.47	Professional	TC	$123.81	$203.48	$474.47
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $250.36 / $347.73 / $612.00	Professional		$250.36	$347.73	$612.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $354.49 / $425.39 / $769.53	Professional		$354.49	$425.39	$769.53
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $97.69 / $117.23 / $212.07	Professional	26	$97.69	$117.23	$212.07
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $256.80 / $308.16 / $557.46	Professional	TC	$256.80	$308.16	$557.46
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $195.84 / $257.86 / $687.74	Professional		$195.84	$257.86	$687.74
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $52.47 / $74.20 / $199.84	Professional	26	$52.47	$74.20	$199.84
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $143.36 / $203.48 / $487.89	Professional	TC	$143.36	$203.48	$487.89
United Facility/Professional Professional Modifier Low / Median / High Price $173.75 / $392.95 / $769.53	Professional		$173.75	$392.95	$769.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.71 / $126.13 / $152.01	Professional	26	$83.71	$126.13	$152.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $126.44 / $226.17 / $473.79	Professional	TC	$126.44	$226.17	$473.79