Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.18 / $96.18 / $96.18	Facility	26	$96.18	$96.18	$96.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.93 / $264.76 / $437.34	Professional		$240.93	$264.76	$437.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.76 / $96.18 / $152.02	Professional	26	$86.76	$96.18	$152.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $165.09 / $168.58 / $257.39	Professional	TC	$165.09	$168.58	$257.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.47 / $348.17 / $593.70	Professional		$248.47	$348.17	$593.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $86.13 / $119.65 / $208.83	Professional	26	$86.13	$119.65	$208.83
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $160.25 / $222.61 / $384.87	Professional	TC	$160.25	$222.61	$384.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.23 / $358.10 / $521.29	Professional		$291.23	$358.10	$521.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.86 / $129.31 / $181.66	Professional	26	$100.86	$129.31	$181.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $153.41 / $233.31 / $339.62	Professional	TC	$153.41	$233.31	$339.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $283.58 / $339.77 / $503.34	Professional		$283.58	$339.77	$503.34
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $99.75 / $119.51 / $177.05	Professional	26	$99.75	$119.51	$177.05
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $183.84 / $220.26 / $326.30	Professional	TC	$183.84	$220.26	$326.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $252.36 / $269.73 / $437.34	Professional		$252.36	$269.73	$437.34
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $86.76 / $96.18 / $152.02	Professional	26	$86.76	$96.18	$152.02
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $165.09 / $172.59 / $283.80	Professional	TC	$165.09	$172.59	$283.80
United Facility/Professional Professional Modifier Low / Median / High Price $227.31 / $370.75 / $474.46	Professional		$227.31	$370.75	$474.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.67 / $121.45 / $163.41	Professional	26	$85.67	$121.45	$163.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.87 / $249.30 / $321.57	Professional	TC	$151.87	$249.30	$321.57