Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.74 / $60.74 / $60.74	Facility	26	$60.74	$60.74	$60.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.67 / $425.02 / $773.65	Professional		$338.67	$425.02	$773.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.32 / $57.27 / $87.22	Professional	26	$51.32	$57.27	$87.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $287.33 / $369.97 / $686.43	Professional	TC	$287.33	$369.97	$686.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $451.21 / $552.73 / $828.62	Professional		$451.21	$552.73	$828.62
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $69.34 / $101.66	Professional	26	$53.70	$69.34	$101.66
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $397.70 / $483.38 / $726.96	Professional	TC	$397.70	$483.38	$726.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.91 / $661.42 / $1,012.04	Professional		$436.91	$661.42	$1,012.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.02 / $88.46 / $132.07	Professional	26	$63.02	$88.46	$132.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $378.03 / $572.96 / $885.83	Professional	TC	$378.03	$572.96	$885.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $474.05 / $585.60 / $989.88	Professional		$474.05	$585.60	$989.88
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 $415.89 / $513.74 / $868.42	Professional	TC	$415.89	$513.74	$868.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $338.67 / $454.18 / $703.23	Professional		$338.67	$454.18	$703.23
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $51.32 / $60.74 / $87.22	Professional	26	$51.32	$60.74	$87.22
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $287.33 / $393.43 / $612.71	Professional	TC	$287.33	$393.43	$612.71
United Facility/Professional Professional Modifier Low / Median / High Price $440.95 / $580.61 / $958.30	Professional		$440.95	$580.61	$958.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.87 / $81.90 / $113.75	Professional	26	$64.87	$81.90	$113.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $420.18 / $528.94 / $868.42	Professional	TC	$420.18	$528.94	$868.42