Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $199.53 / $199.53	Facility	26	$199.53	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $331.13 / $831.76	Professional		$263.03	$331.13	$831.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $213.80 / $524.81	Professional	26	$169.82	$213.80	$524.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $117.49 / $199.53	Professional	TC	$97.72	$117.49	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $562.34	Professional		$223.87	$302.00	$562.34
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $141.25 / $190.55 / $354.81	Professional	26	$141.25	$190.55	$354.81
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $112.20 / $204.17	Professional	TC	$85.11	$112.20	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $407.38 / $707.95	Professional		$323.59	$407.38	$707.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $208.93 / $263.03 / $436.52	Professional	26	$208.93	$263.03	$436.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $154.88 / $269.15	Professional	TC	$117.49	$154.88	$269.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $851.14	Professional		$316.23	$446.68	$851.14
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $199.53 / $275.42 / $537.03	Professional	26	$199.53	$275.42	$537.03
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $165.96 / $323.59	Professional	TC	$117.49	$165.96	$323.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $776.25	Professional		$288.40	$363.08	$776.25
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $173.78 / $218.78 / $512.86	Professional	26	$173.78	$218.78	$512.86
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $128.82 / $245.47	Professional	TC	$107.15	$128.82	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $660.69	Professional		$302.00	$426.58	$660.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $194.98 / $269.15 / $416.87	Professional	26	$194.98	$269.15	$416.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $158.49 / $245.47	Professional	TC	$114.82	$158.49	$245.47