Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.47 / $59.47 / $59.47	Facility	26	$59.47	$59.47	$59.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.78 / $290.02 / $458.78	Professional		$235.78	$290.02	$458.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.89 / $84.59 / $108.34	Professional	26	$58.89	$84.59	$108.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $161.62 / $198.37 / $357.62	Professional	TC	$161.62	$198.37	$357.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.63 / $286.63 / $504.23	Professional		$252.63	$286.63	$504.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.40 / $59.45 / $103.01	Professional	26	$52.40	$59.45	$103.01
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $200.22 / $227.17 / $401.21	Professional	TC	$200.22	$227.17	$401.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.20 / $408.51 / $597.16	Professional		$297.20	$408.51	$597.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.21 / $86.63 / $125.96	Professional	26	$60.21	$86.63	$125.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $208.34 / $327.69 / $476.94	Professional	TC	$208.34	$327.69	$476.94
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $321.93 / $385.70 / $571.39	Professional		$321.93	$385.70	$571.39
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $66.78 / $80.01 / $118.53	Professional	26	$66.78	$80.01	$118.53
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $255.15 / $305.70 / $452.87	Professional	TC	$255.15	$305.70	$452.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $246.93 / $293.98 / $470.17	Professional		$246.93	$293.98	$470.17
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $59.47 / $84.15 / $108.34	Professional	26	$59.47	$84.15	$108.34
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $162.34 / $230.55 / $388.49	Professional	TC	$162.34	$230.55	$388.49
United Facility/Professional Professional Modifier Low / Median / High Price $268.45 / $389.76 / $540.87	Professional		$268.45	$389.76	$540.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.49 / $82.15 / $108.21	Professional	26	$56.49	$82.15	$108.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $217.50 / $304.25 / $432.66	Professional	TC	$217.50	$304.25	$432.66