Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $177.93 / $280.63	Professional		$155.75	$177.93	$280.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $59.07 / $90.52	Professional	26	$53.70	$59.07	$90.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $102.06 / $115.34 / $190.10	Professional	TC	$102.06	$115.34	$190.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.02 / $326.33 / $408.83	Professional		$255.02	$326.33	$408.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.96 / $63.49 / $110.63	Professional	26	$55.96	$63.49	$110.63
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $158.77 / $266.47 / $333.83	Professional	TC	$158.77	$266.47	$333.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.70 / $414.41 / $704.99	Professional		$295.70	$414.41	$704.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.52 / $76.94 / $128.25	Professional	26	$58.52	$76.94	$128.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $240.52 / $342.09 / $576.74	Professional	TC	$240.52	$342.09	$576.74
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $361.50 / $433.11 / $641.63	Professional		$361.50	$433.11	$641.63
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $71.31 / $85.44 / $126.57	Professional	26	$71.31	$85.44	$126.57
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $290.19 / $347.68 / $515.05	Professional	TC	$290.19	$347.68	$515.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $187.09 / $293.77	Professional		$155.75	$187.09	$293.77
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $62.59 / $90.03	Professional	26	$53.70	$62.59	$90.03
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $102.06 / $122.77 / $192.50	Professional	TC	$102.06	$122.77	$192.50
United Facility/Professional Professional Modifier Low / Median / High Price $302.05 / $456.75 / $671.49	Professional		$302.05	$456.75	$671.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.01 / $86.25 / $117.18	Professional	26	$61.01	$86.25	$117.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $243.43 / $370.50 / $554.30	Professional	TC	$243.43	$370.50	$554.30