Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.39 / $282.39 / $356.17	Professional		$282.39	$282.39	$356.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.34 / $37.34 / $55.94	Professional	26	$37.34	$37.34	$55.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $227.60 / $245.07 / $300.24	Professional	TC	$227.60	$245.07	$300.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.75 / $548.74 / $942.91	Professional		$132.75	$548.74	$942.91
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.30 / $68.67 / $78.56	Professional	26	$17.30	$68.67	$78.56
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $115.45 / $471.16 / $556.55	Professional	TC	$115.45	$471.16	$556.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.57 / $266.74 / $415.81	Professional		$247.57	$266.74	$415.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $45.69 / $98.69	Professional	26	$26.92	$45.69	$98.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $191.46 / $232.37 / $658.56	Professional	TC	$191.46	$232.37	$658.56
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $336.77 / $404.12 / $731.06	Professional		$336.77	$404.12	$731.06
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $49.88 / $59.86 / $108.28	Professional	26	$49.88	$59.86	$108.28
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $286.89 / $344.27 / $622.78	Professional	TC	$286.89	$344.27	$622.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $243.64 / $282.39 / $756.94	Professional		$243.64	$282.39	$756.94
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $37.34 / $38.27 / $106.29	Professional	26	$37.34	$38.27	$106.29
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $205.38 / $245.07 / $650.64	Professional	TC	$205.38	$245.07	$650.64
United Facility/Professional Professional Modifier Low / Median / High Price $319.76 / $463.91 / $559.90	Professional		$319.76	$463.91	$559.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.37 / $49.88 / $108.28	Professional	26	$24.37	$49.88	$108.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $149.69 / $398.76 / $735.44	Professional	TC	$149.69	$398.76	$735.44