Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.46 / $48.47 / $48.47	Facility	26	$48.46	$48.47	$48.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.60 / $366.67 / $638.79	Professional		$305.60	$366.67	$638.79
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $152.80 / $183.34 / $205.30	Professional	52	$152.80	$183.34	$205.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $265.75 / $318.20 / $569.08	Professional	TC	$265.75	$318.20	$569.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.47 / $447.66 / $684.09	Professional		$365.47	$447.66	$684.09
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $322.85 / $392.44 / $602.63	Professional	TC	$322.85	$392.44	$602.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.08 / $492.04 / $818.85	Professional		$90.08	$492.04	$818.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $329.80 / $465.90 / $719.18	Professional	TC	$329.80	$465.90	$719.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $391.37 / $483.45 / $817.22	Professional		$391.37	$483.45	$817.22
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $344.76 / $425.88 / $719.90	Professional	TC	$344.76	$425.88	$719.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $292.89 / $376.50 / $638.79	Professional		$292.89	$376.50	$638.79
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $155.08 / $183.34 / $205.30	Professional	52	$155.08	$183.34	$205.30
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $252.77 / $323.49 / $569.08	Professional	TC	$252.77	$323.49	$569.08
United Facility/Professional Professional Modifier Low / Median / High Price $391.59 / $478.86 / $770.24	Professional		$391.59	$478.86	$770.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $278.04 / $411.22 / $680.50	Professional	TC	$278.04	$411.22	$680.50