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 $316.31 / $395.96 / $714.81	Professional		$316.31	$395.96	$714.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $264.98 / $333.35 / $627.58	Professional	TC	$264.98	$333.35	$627.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $404.65 / $513.28 / $766.16	Professional		$404.65	$513.28	$766.16
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $350.96 / $443.93 / $664.48	Professional	TC	$350.96	$443.93	$664.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.21 / $599.59 / $939.90	Professional		$394.21	$599.59	$939.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $334.97 / $512.01 / $813.69	Professional	TC	$334.97	$512.01	$813.69
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $438.31 / $541.44 / $915.24	Professional		$438.31	$541.44	$915.24
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $380.15 / $469.60 / $793.81	Professional	TC	$380.15	$469.60	$793.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $316.31 / $411.72 / $714.81	Professional		$316.31	$411.72	$714.81
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $264.98 / $350.97 / $627.58	Professional	TC	$264.98	$350.97	$627.58
United Facility/Professional Professional Modifier Low / Median / High Price $400.23 / $543.40 / $1,356.49	Professional		$400.23	$543.40	$1,356.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $374.83 / $451.14 / $736.17	Professional	TC	$374.83	$451.14	$736.17