Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $331.13 / $331.13 / $331.13	Facility	26	$331.13	$331.13	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,122.02 / $1,949.84	Professional		$977.24	$1,122.02	$1,949.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $275.42 / $331.13 / $691.83	Professional	26	$275.42	$331.13	$691.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $707.95 / $812.83 / $1,412.54	Professional	TC	$707.95	$812.83	$1,412.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,412.54 / $2,570.40	Professional		$891.25	$1,412.54	$2,570.40
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $251.19 / $398.11 / $741.31	Professional	26	$251.19	$398.11	$741.31
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $616.60 / $977.24 / $1,819.70	Professional	TC	$616.60	$977.24	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $1,905.46	Professional		$1,348.96	$1,584.89	$1,905.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $363.08 / $426.58 / $537.03	Professional	26	$363.08	$426.58	$537.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $977.24 / $1,174.90 / $1,380.38	Professional	TC	$977.24	$1,174.90	$1,380.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $1,949.84	Professional		$1,258.93	$1,513.56	$1,949.84
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $354.81 / $426.58 / $549.54	Professional	26	$354.81	$426.58	$549.54
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $891.25 / $1,071.52 / $1,412.54	Professional	TC	$891.25	$1,071.52	$1,412.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,230.27 / $2,137.96	Professional		$1,071.52	$1,230.27	$2,137.96
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $288.40 / $363.08 / $616.60	Professional	26	$288.40	$363.08	$616.60
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $776.25 / $912.01 / $1,548.82	Professional	TC	$776.25	$912.01	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $2,089.30	Professional		$1,096.48	$1,479.11	$2,089.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $354.81 / $436.52 / $562.34	Professional	26	$354.81	$436.52	$562.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $776.25 / $1,047.13 / $1,412.54	Professional	TC	$776.25	$1,047.13	$1,412.54