Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.60 / $91.61 / $91.61	Facility	26	$91.60	$91.61	$91.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.98 / $428.43 / $755.46	Professional		$365.98	$428.43	$755.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.31 / $91.60 / $131.91	Professional	26	$81.31	$91.60	$131.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $284.67 / $336.82 / $623.53	Professional	TC	$284.67	$336.82	$623.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $429.88 / $528.23 / $813.92	Professional		$429.88	$528.23	$813.92
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.67 / $105.06 / $153.72	Professional	26	$81.67	$105.06	$153.72
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $348.70 / $423.17 / $660.21	Professional	TC	$348.70	$423.17	$660.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.28 / $623.92 / $966.41	Professional		$416.28	$623.92	$966.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.46 / $133.41 / $198.46	Professional	26	$99.46	$133.41	$198.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $324.08 / $490.52 / $775.58	Professional	TC	$324.08	$490.52	$775.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $465.64 / $575.20 / $972.31	Professional		$465.64	$575.20	$972.31
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $87.94 / $108.63 / $183.63	Professional	26	$87.94	$108.63	$183.63
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $377.70 / $466.57 / $788.68	Professional	TC	$377.70	$466.57	$788.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $365.98 / $446.69 / $755.46	Professional		$365.98	$446.69	$755.46
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $81.31 / $91.61 / $136.84	Professional	26	$81.31	$91.61	$136.84
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $284.67 / $342.30 / $623.53	Professional	TC	$284.67	$342.30	$623.53
United Facility/Professional Professional Modifier Low / Median / High Price $416.83 / $575.17 / $909.76	Professional		$416.83	$575.17	$909.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.84 / $130.94 / $170.16	Professional	26	$97.84	$130.94	$170.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $327.01 / $445.51 / $739.60	Professional	TC	$327.01	$445.51	$739.60