Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $329.07 / $329.07 / $329.07	Facility	26	$329.07	$329.07	$329.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,068.84 / $1,133.92 / $1,656.70	Professional		$1,068.84	$1,133.92	$1,656.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $289.42 / $318.66 / $430.33	Professional	26	$289.42	$318.66	$430.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $775.87 / $815.25 / $1,226.36	Professional	TC	$775.87	$815.25	$1,226.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,133.78 / $1,333.86 / $1,976.13	Professional		$1,133.78	$1,333.86	$1,976.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $304.27 / $370.48 / $569.54	Professional	26	$304.27	$370.48	$569.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $817.89 / $962.23 / $1,409.68	Professional	TC	$817.89	$962.23	$1,409.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,381.23 / $1,636.57 / $2,382.33	Professional		$1,381.23	$1,636.57	$2,382.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $401.11 / $444.70 / $620.29	Professional	26	$401.11	$444.70	$620.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $980.12 / $1,210.45 / $1,762.04	Professional	TC	$980.12	$1,210.45	$1,762.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,102.38 / $1,227.11 / $1,909.40	Professional		$1,102.38	$1,227.11	$1,909.40
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $317.72 / $353.67 / $550.30	Professional	26	$317.72	$353.67	$550.30
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $784.67 / $873.45 / $1,359.09	Professional	TC	$784.67	$873.45	$1,359.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,068.84 / $1,205.44 / $1,656.70	Professional		$1,068.84	$1,205.44	$1,656.70
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $289.42 / $329.07 / $455.52	Professional	26	$289.42	$329.07	$455.52
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $779.44 / $876.37 / $1,226.36	Professional	TC	$779.44	$876.37	$1,226.36
United Facility/Professional Professional Modifier Low / Median / High Price $1,106.90 / $1,510.77 / $1,909.40	Professional		$1,106.90	$1,510.77	$1,909.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $358.10 / $438.36 / $559.88	Professional	26	$358.10	$438.36	$559.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $773.08 / $1,022.05 / $1,314.27	Professional	TC	$773.08	$1,022.05	$1,314.27