Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.45 / $64.45 / $64.45	Facility	26	$64.45	$64.45	$64.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.09 / $451.36 / $613.11	Professional		$426.09	$451.36	$613.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.78 / $64.45 / $72.47	Professional	26	$58.78	$64.45	$72.47
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $213.05 / $225.16 / $246.21	Professional	52	$213.05	$225.16	$246.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $361.64 / $387.61 / $540.64	Professional	TC	$361.64	$387.61	$540.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.74 / $465.53 / $760.64	Professional		$401.74	$465.53	$760.64
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.96 / $72.67 / $105.95	Professional	26	$55.96	$72.67	$105.95
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $345.78 / $392.84 / $654.69	Professional	TC	$345.78	$392.84	$654.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $479.69 / $647.23 / $1,096.90	Professional		$479.69	$647.23	$1,096.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.41 / $93.86 / $163.15	Professional	26	$72.41	$93.86	$163.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $402.57 / $557.67 / $933.76	Professional	TC	$402.57	$557.67	$933.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $435.16 / $537.54 / $908.66	Professional		$435.16	$537.54	$908.66
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $60.61 / $74.88 / $126.57	Professional	26	$60.61	$74.88	$126.57
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $374.54 / $462.67 / $782.09	Professional	TC	$374.54	$462.67	$782.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $426.08 / $498.19 / $613.11	Professional		$426.08	$498.19	$613.11
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $63.75 / $64.45 / $76.42	Professional	26	$63.75	$64.45	$76.42
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $213.05 / $219.07 / $246.21	Professional	52	$213.05	$219.07	$246.21
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $361.63 / $424.81 / $540.64	Professional	TC	$361.63	$424.81	$540.64
United Facility/Professional Professional Modifier Low / Median / High Price $508.72 / $648.41 / $840.36	Professional		$508.72	$648.41	$840.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.84 / $88.94 / $117.32	Professional	26	$68.84	$88.94	$117.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $386.21 / $559.47 / $763.03	Professional	TC	$386.21	$559.47	$763.03