Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.98 / $832.06 / $983.68	Facility		$104.98	$832.06	$983.68
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.03 / $25.03 / $25.03	Facility	26	$25.03	$25.03	$25.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.71 / $140.61 / $224.00	Professional		$120.71	$140.61	$224.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.44 / $22.99 / $34.15	Professional	26	$18.44	$22.99	$34.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $102.26 / $115.57 / $189.87	Professional	TC	$102.26	$115.57	$189.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.09 / $155.97 / $246.72	Professional		$128.09	$155.97	$246.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.67 / $24.59 / $43.24	Professional	26	$21.67	$24.59	$43.24
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $106.77 / $131.38 / $203.47	Professional	TC	$106.77	$131.38	$203.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.87 / $220.30 / $321.70	Professional		$161.87	$220.30	$321.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.43 / $30.58 / $49.84	Professional	26	$21.43	$30.58	$49.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $127.99 / $186.80 / $271.86	Professional	TC	$127.99	$186.80	$271.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $175.19 / $209.90 / $310.94	Professional		$175.19	$209.90	$310.94
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $27.62 / $33.09 / $49.02	Professional	26	$27.62	$33.09	$49.02
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $147.57 / $176.80 / $261.92	Professional	TC	$147.57	$176.80	$261.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $322.73 / $444.24 / $898.63	Facility		$322.73	$444.24	$898.63
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $120.71 / $146.54 / $239.31	Professional		$120.71	$146.54	$239.31
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $18.44 / $25.03 / $36.47	Professional	26	$18.44	$25.03	$36.47
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $102.26 / $122.99 / $206.11	Professional	TC	$102.26	$122.99	$206.11
United Facility/Professional Professional Modifier Low / Median / High Price $145.37 / $208.92 / $294.54	Professional		$145.37	$208.92	$294.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.84 / $34.29 / $45.11	Professional	26	$23.84	$34.29	$45.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $127.70 / $174.62 / $247.96	Professional	TC	$127.70	$174.62	$247.96