Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.73 / $333.73 / $347.06	Professional		$333.73	$333.73	$347.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.49 / $54.49 / $59.08	Professional	26	$54.49	$54.49	$59.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $279.24 / $279.24 / $319.14	Professional	TC	$279.24	$279.24	$319.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.72 / $663.31 / $1,123.49	Professional		$164.72	$663.31	$1,123.49
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.47 / $100.83 / $117.63	Professional	26	$25.47	$100.83	$117.63
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $139.26 / $562.47 / $643.12	Professional	TC	$139.26	$562.47	$643.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.15 / $379.70 / $502.15	Professional		$255.15	$379.70	$502.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.29 / $67.19 / $145.13	Professional	26	$39.29	$67.19	$145.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $216.20 / $319.14 / $794.16	Professional	TC	$216.20	$319.14	$794.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $479.39 / $575.27 / $1,040.66	Professional		$479.39	$575.27	$1,040.66
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $77.08 / $92.50 / $167.33	Professional	26	$77.08	$92.50	$167.33
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $402.31 / $482.77 / $873.33	Professional	TC	$402.31	$482.77	$873.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $333.73 / $347.06 / $903.84	Professional		$333.73	$347.06	$903.84
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $54.49 / $59.08 / $153.90	Professional	26	$54.49	$59.08	$153.90
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $279.24 / $287.98 / $749.94	Professional	TC	$279.24	$287.98	$749.94
United Facility/Professional Professional Modifier Low / Median / High Price $239.09 / $414.12 / $1,001.51	Professional		$239.09	$414.12	$1,001.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.78 / $99.12 / $163.54	Professional	26	$65.78	$99.12	$163.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $202.11 / $347.67 / $837.97	Professional	TC	$202.11	$347.67	$837.97