Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.53 / $243.21 / $409.16	Professional		$215.53	$243.21	$409.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.52 / $70.00 / $113.02	Professional	26	$62.52	$70.00	$113.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $152.75 / $168.03 / $268.64	Professional	TC	$152.75	$168.03	$268.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.79 / $327.66 / $556.60	Professional		$235.79	$327.66	$556.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.89 / $88.76 / $155.32	Professional	26	$63.89	$88.76	$155.32
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $171.90 / $236.22 / $401.27	Professional	TC	$171.90	$236.22	$401.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.85 / $343.46 / $499.97	Professional		$259.85	$343.46	$499.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.09 / $96.14 / $135.07	Professional	26	$75.09	$96.14	$135.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $170.30 / $252.88 / $364.90	Professional	TC	$170.30	$252.88	$364.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $265.87 / $318.54 / $521.24	Professional		$265.87	$318.54	$521.24
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $74.20 / $88.90 / $131.69	Professional	26	$74.20	$88.90	$131.69
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $191.67 / $229.64 / $340.20	Professional	TC	$191.67	$229.64	$340.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $215.53 / $263.06 / $409.16	Professional		$215.53	$263.06	$409.16
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $62.52 / $71.87 / $113.02	Professional	26	$62.52	$71.87	$113.02
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $152.75 / $191.18 / $291.83	Professional	TC	$152.75	$191.18	$291.83
United Facility/Professional Professional Modifier Low / Median / High Price $232.16 / $325.27 / $449.43	Professional		$232.16	$325.27	$449.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.22 / $91.08 / $121.67	Professional	26	$63.22	$91.08	$121.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $156.47 / $242.51 / $327.76	Professional	TC	$156.47	$242.51	$327.76