Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.11 / $142.11 / $341.63	Professional		$142.11	$142.11	$341.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $32.36 / $73.40	Professional	26	$32.36	$32.36	$73.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $109.74 / $109.74 / $132.46	Professional	TC	$109.74	$109.74	$132.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $278.51 / $474.38	Professional		$69.20	$278.51	$474.38
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.23 / $59.96 / $70.58	Professional	26	$15.23	$59.96	$70.58
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.98 / $218.56 / $259.42	Professional	TC	$53.98	$218.56	$259.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.88 / $168.71 / $212.13	Professional		$137.88	$168.71	$212.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.46 / $40.19 / $86.81	Professional	26	$23.46	$40.19	$86.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.85 / $132.46 / $307.81	Professional	TC	$85.85	$132.46	$307.81
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $150.51 / $209.04 / $367.91	Professional		$150.51	$209.04	$367.91
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $213.11 / $255.73 / $462.62	Professional		$213.11	$255.73	$462.62
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $46.17 / $55.40 / $100.23	Professional	26	$46.17	$55.40	$100.23
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $166.94 / $200.33 / $362.39	Professional	TC	$166.94	$200.33	$362.39
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $142.11 / $154.68 / $382.56	Professional		$142.11	$154.68	$382.56
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $35.15 / $93.52	Professional	26	$32.36	$35.15	$93.52
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $109.73 / $119.52 / $289.04	Professional	TC	$109.73	$119.52	$289.04
United Facility/Professional Professional Modifier Low / Median / High Price $104.57 / $213.11 / $426.46	Professional		$104.57	$213.11	$426.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.18 / $55.40 / $97.14	Professional	26	$22.18	$55.40	$97.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $82.39 / $135.34 / $329.32	Professional	TC	$82.39	$135.34	$329.32