Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.95 / $960.77 / $1,143.40	Facility		$233.95	$960.77	$1,143.40
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.68 / $35.68 / $44.10	Facility	26	$35.68	$35.68	$44.10
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $168.46 / $215.21 / $1,130.48	Facility	TC	$168.46	$215.21	$1,130.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.59 / $205.65 / $354.43	Professional		$187.59	$205.65	$354.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.11 / $35.69 / $58.61	Professional	26	$32.11	$35.69	$58.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $161.75 / $168.47 / $264.01	Professional	TC	$161.75	$168.47	$264.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.88 / $202.95 / $356.71	Professional		$178.88	$202.95	$356.71
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.05 / $35.22 / $61.68	Professional	26	$31.05	$35.22	$61.68
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $147.82 / $167.72 / $295.02	Professional	TC	$147.82	$167.72	$295.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.62 / $288.43 / $422.52	Professional		$210.62	$288.43	$422.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.27 / $47.07 / $72.63	Professional	26	$35.27	$47.07	$72.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $152.85 / $240.27 / $349.90	Professional	TC	$152.85	$240.27	$349.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $227.95 / $273.11 / $404.59	Professional		$227.95	$273.11	$404.59
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $39.57 / $47.41 / $70.23	Professional	26	$39.57	$47.41	$70.23
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $188.38 / $225.70 / $334.36	Professional	TC	$188.38	$225.70	$334.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $236.06 / $956.69 / $1,371.15	Facility		$236.06	$956.69	$1,371.15
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $35.68 / $38.86 / $44.10	Facility	26	$35.68	$38.86	$44.10
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $168.46 / $880.52 / $1,130.48	Facility	TC	$168.46	$880.52	$1,130.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $194.61 / $217.92 / $365.80	Professional		$194.61	$217.92	$365.80
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $32.11 / $38.65 / $59.63	Professional	26	$32.11	$38.65	$59.63
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $162.49 / $178.73 / $291.02	Professional	TC	$162.49	$178.73	$291.02
United Facility/Professional Professional Modifier Low / Median / High Price $188.91 / $269.20 / $382.79	Professional		$188.91	$269.20	$382.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.65 / $50.88 / $64.65	Professional	26	$34.65	$50.88	$64.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $155.31 / $221.40 / $317.63	Professional	TC	$155.31	$221.40	$317.63