Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.69 / $991.39 / $1,383.14	Facility		$196.69	$991.39	$1,383.14
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.52 / $40.52 / $40.52	Facility	26	$40.52	$40.52	$40.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.33 / $196.75 / $302.11	Professional		$193.33	$196.75	$302.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.82 / $37.10 / $57.21	Professional	26	$30.82	$37.10	$57.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $156.18 / $162.49 / $244.90	Professional	TC	$156.18	$162.49	$244.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.02 / $197.45 / $344.00	Professional		$174.02	$197.45	$344.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.88 / $41.84 / $71.20	Professional	26	$36.88	$41.84	$71.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $137.15 / $155.61 / $272.77	Professional	TC	$137.15	$155.61	$272.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.55 / $276.98 / $405.49	Professional		$200.55	$276.98	$405.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.00 / $50.06 / $82.37	Professional	26	$35.00	$50.06	$82.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $161.78 / $223.11 / $323.12	Professional	TC	$161.78	$223.11	$323.12
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $221.76 / $265.69 / $393.60	Professional		$221.76	$265.69	$393.60
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $46.99 / $56.30 / $83.40	Professional	26	$46.99	$56.30	$83.40
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $174.77 / $209.39 / $310.20	Professional	TC	$174.77	$209.39	$310.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $233.95 / $1,103.26 / $1,383.14	Facility		$233.95	$1,103.26	$1,383.14
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $193.33 / $204.21 / $339.43	Professional		$193.33	$204.21	$339.43
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $30.82 / $40.52 / $61.07	Professional	26	$30.82	$40.52	$61.07
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $156.18 / $169.96 / $269.97	Professional	TC	$156.18	$169.96	$269.97
United Facility/Professional Professional Modifier Low / Median / High Price $190.97 / $262.04 / $368.00	Professional		$190.97	$262.04	$368.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.34 / $56.45 / $73.89	Professional	26	$39.34	$56.45	$73.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.00 / $205.59 / $294.11	Professional	TC	$144.00	$205.59	$294.11