Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.52 / $146.34 / $234.76	Facility		$135.52	$146.34	$234.76
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.50 / $43.51 / $59.05	Facility	26	$43.50	$43.51	$59.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.39 / $211.81 / $233.00	Professional		$168.39	$211.81	$233.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.51 / $55.46 / $61.49	Professional	26	$43.51	$55.46	$61.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $121.47 / $156.36 / $171.99	Professional	TC	$121.47	$156.36	$171.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.02 / $196.84 / $259.42	Professional		$144.02	$196.84	$259.42
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.63 / $49.84 / $70.43	Professional	26	$39.63	$49.84	$70.43
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $104.39 / $147.01 / $185.67	Professional	TC	$104.39	$147.01	$185.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.87 / $250.37 / $422.25	Professional		$187.87	$250.37	$422.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.20 / $69.63 / $111.82	Professional	26	$50.20	$69.63	$111.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $136.65 / $176.39 / $310.17	Professional	TC	$136.65	$176.39	$310.17
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $183.62 / $344.51	Professional		$134.90	$183.62	$344.51
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $40.29 / $49.77 / $84.13	Professional	26	$40.29	$49.77	$84.13
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $94.60 / $116.85 / $197.53	Professional	TC	$94.60	$116.85	$197.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $135.52 / $173.74 / $706.55	Facility		$135.52	$173.74	$706.55
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $43.50 / $43.50 / $59.05	Facility	26	$43.50	$43.50	$59.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $156.15 / $201.00 / $252.28	Professional		$156.15	$201.00	$252.28
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $43.50 / $52.50 / $67.84	Professional	26	$43.50	$52.50	$67.84
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $107.41 / $146.08 / $188.07	Professional	TC	$107.41	$146.08	$188.07
United Facility/Professional Professional Modifier Low / Median / High Price $185.55 / $249.76 / $359.66	Professional		$185.55	$249.76	$359.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.47 / $73.95 / $91.80	Professional	26	$46.47	$73.95	$91.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $152.43 / $171.49 / $209.67	Professional	TC	$152.43	$171.49	$209.67