Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.85 / $61.85 / $61.85	Facility	26	$61.85	$61.85	$61.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.31 / $434.96 / $749.38	Professional		$423.31	$434.96	$749.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.34 / $61.85 / $86.57	Professional	26	$58.34	$61.85	$86.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $362.93 / $378.80 / $661.88	Professional	TC	$362.93	$378.80	$661.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.68 / $512.45 / $805.96	Professional		$425.68	$512.45	$805.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.34 / $69.77 / $102.88	Professional	26	$54.34	$69.77	$102.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $371.34 / $442.68 / $703.07	Professional	TC	$371.34	$442.68	$703.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $505.52 / $712.72 / $1,186.31	Professional		$505.52	$712.72	$1,186.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.52 / $96.79 / $157.46	Professional	26	$70.52	$96.79	$157.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $431.92 / $615.92 / $1,028.84	Professional	TC	$431.92	$615.92	$1,028.84
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $461.09 / $569.58 / $962.81	Professional		$461.09	$569.58	$962.81
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $58.86 / $72.70 / $122.91	Professional	26	$58.86	$72.70	$122.91
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $402.23 / $496.87 / $839.90	Professional	TC	$402.23	$496.87	$839.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $423.31 / $451.62 / $804.71	Professional		$423.31	$451.62	$804.71
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $58.34 / $62.69 / $86.57	Professional	26	$58.34	$62.69	$86.57
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $362.93 / $386.31 / $696.78	Professional	TC	$362.93	$386.31	$696.78
United Facility/Professional Professional Modifier Low / Median / High Price $463.80 / $580.82 / $916.33	Professional		$463.80	$580.82	$916.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.06 / $84.46 / $133.16	Professional	26	$66.06	$84.46	$133.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $446.88 / $525.74 / $772.28	Professional	TC	$446.88	$525.74	$772.28