Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $60.26 / $60.26	Facility	26	$60.26	$60.26	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $426.58 / $724.44	Professional		$316.23	$426.58	$724.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $354.81 / $630.96	Professional	TC	$263.03	$354.81	$630.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $794.33	Professional		$338.84	$467.74	$794.33
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $407.38 / $676.08	Professional	TC	$288.40	$407.38	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $562.34 / $954.99	Professional		$229.09	$562.34	$954.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $489.78 / $831.76	Professional	TC	$162.18	$489.78	$831.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $660.69 / $1,288.25	Professional		$467.74	$660.69	$1,288.25
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $407.38 / $575.44 / $1,122.02	Professional	TC	$407.38	$575.44	$1,122.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $794.33	Professional		$316.23	$446.68	$794.33
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $380.19 / $691.83	Professional	TC	$263.03	$380.19	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $549.54 / $977.24	Professional		$363.08	$549.54	$977.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $478.63 / $831.76	Professional	TC	$281.84	$478.63	$831.76