Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $95.50 / $95.50	Facility	26	$95.50	$95.50	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $281.84 / $549.54	Professional		$229.09	$281.84	$549.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $120.23 / $257.04	Professional	26	$81.28	$120.23	$257.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $181.97 / $380.19	Professional	TC	$154.88	$181.97	$380.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $346.74 / $691.83	Professional		$229.09	$346.74	$691.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $123.03 / $239.88	Professional	26	$81.28	$123.03	$239.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $229.09 / $446.68	Professional	TC	$151.36	$229.09	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $524.81	Professional		$275.42	$354.81	$524.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $125.89 / $186.21	Professional	26	$93.33	$125.89	$186.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $223.87 / $338.84	Professional	TC	$147.91	$223.87	$338.84
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $363.08 / $660.69	Professional		$275.42	$363.08	$660.69
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $131.83 / $234.42	Professional	26	$97.72	$131.83	$234.42
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $245.47 / $436.52	Professional	TC	$186.21	$245.47	$436.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $323.59 / $616.60	Professional		$239.88	$323.59	$616.60
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $117.49 / $239.88	Professional	26	$83.18	$117.49	$239.88
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $204.17 / $416.87	Professional	TC	$154.88	$204.17	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $363.08 / $660.69	Professional		$229.09	$363.08	$660.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $120.23 / $229.09	Professional	26	$85.11	$120.23	$229.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $245.47 / $426.58	Professional	TC	$144.54	$245.47	$426.58