Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $140.58 / $140.58 / $156.22	Facility	26	$140.58	$140.58	$156.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.72 / $240.28 / $339.79	Professional		$212.72	$240.28	$339.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.34 / $138.21 / $202.74	Professional	26	$120.34	$138.21	$202.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $92.39 / $101.62 / $137.05	Professional	TC	$92.39	$101.62	$137.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.52 / $221.48 / $402.49	Professional		$201.52	$221.48	$402.49
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $124.86 / $133.58 / $245.44	Professional	26	$124.86	$133.58	$245.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $76.66 / $93.33 / $157.05	Professional	TC	$76.66	$93.33	$157.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.08 / $287.88 / $485.45	Professional		$90.08	$287.88	$485.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $151.47 / $204.73 / $306.41	Professional	26	$151.47	$204.73	$306.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.61 / $145.19 / $234.91	Professional	TC	$104.61	$145.19	$234.91
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $218.28 / $269.64 / $455.79	Professional		$218.28	$269.64	$455.79
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $135.24 / $167.07 / $282.39	Professional	26	$135.24	$167.07	$282.39
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $83.04 / $102.57 / $173.39	Professional	TC	$83.04	$102.57	$173.39
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $140.58 / $140.58 / $156.22	Facility	26	$140.58	$140.58	$156.22
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $212.72 / $240.87 / $397.65	Professional		$212.72	$240.87	$397.65
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $120.34 / $140.58 / $242.24	Professional	26	$120.34	$140.58	$242.24
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $91.70 / $102.20 / $152.72	Professional	TC	$91.70	$102.20	$152.72
United Facility/Professional Professional Modifier Low / Median / High Price $256.61 / $329.81 / $430.32	Professional		$256.61	$329.81	$430.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $150.13 / $190.50 / $302.67	Professional	26	$150.13	$190.50	$302.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.11 / $131.40 / $169.91	Professional	TC	$102.11	$131.40	$169.91