Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $363.08 / $537.03	Professional		$194.98	$363.08	$537.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $181.97 / $831.76	Professional	26	$91.20	$181.97	$831.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $251.19 / $346.74	Professional	TC	$114.82	$251.19	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $691.83 / $812.83	Professional		$165.96	$691.83	$812.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $229.09 / $269.15	Professional	26	$61.66	$229.09	$269.15
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $436.52 / $549.54	Professional	TC	$112.20	$436.52	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $416.87 / $1,071.52	Professional		$234.42	$416.87	$1,071.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $181.97 / $354.81	Professional	26	$114.82	$181.97	$354.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $281.84 / $724.44	Professional	TC	$100.00	$281.84	$724.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $630.96 / $1,174.90	Professional		$512.86	$630.96	$1,174.90
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $165.96 / $204.17 / $380.19	Professional	26	$165.96	$204.17	$380.19
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $426.58 / $794.33	Professional	TC	$346.74	$426.58	$794.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $478.63 / $1,071.52	Professional		$281.84	$478.63	$1,071.52
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $323.59 / $831.76	Professional	26	$112.20	$323.59	$831.76
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $323.59 / $691.83	Professional	TC	$181.97	$323.59	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $630.96 / $1,148.15	Professional		$398.11	$630.96	$1,148.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $218.78 / $380.19	Professional	26	$83.18	$218.78	$380.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $416.87 / $776.25	Professional	TC	$177.83	$416.87	$776.25