Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.36 / $60.36 / $60.37	Facility	26	$60.36	$60.36	$60.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.81 / $378.86 / $663.25	Professional		$302.81	$378.86	$663.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.54 / $57.46 / $87.22	Professional	26	$51.54	$57.46	$87.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.27 / $317.01 / $576.02	Professional	TC	$251.27	$317.01	$576.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.83 / $470.92 / $711.65	Professional		$383.83	$470.92	$711.65
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $68.94 / $101.66	Professional	26	$53.70	$68.94	$101.66
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $330.66 / $401.99 / $609.99	Professional	TC	$330.66	$401.99	$609.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.35 / $557.11 / $862.16	Professional		$371.35	$557.11	$862.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.06 / $87.92 / $132.07	Professional	26	$63.06	$87.92	$132.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $312.47 / $469.19 / $736.71	Professional	TC	$312.47	$469.19	$736.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $407.13 / $502.93 / $850.14	Professional		$407.13	$502.93	$850.14
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $58.17 / $71.84 / $121.46	Professional	26	$58.17	$71.84	$121.46
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $348.97 / $431.08 / $728.69	Professional	TC	$348.97	$431.08	$728.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $302.81 / $382.55 / $604.65	Professional		$302.81	$382.55	$604.65
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $51.54 / $60.36 / $87.22	Professional	26	$51.54	$60.36	$87.22
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $251.27 / $322.18 / $514.14	Professional	TC	$251.27	$322.18	$514.14
United Facility/Professional Professional Modifier Low / Median / High Price $371.72 / $508.28 / $823.58	Professional		$371.72	$508.28	$823.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.84 / $90.37 / $180.05	Professional	26	$65.84	$90.37	$180.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $344.07 / $410.65 / $698.37	Professional	TC	$344.07	$410.65	$698.37