Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $107.15 / $107.15	Facility	26	$107.15	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $309.03 / $457.09	Professional		$239.88	$309.03	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $107.15 / $158.49	Professional	26	$89.13	$107.15	$158.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $194.98 / $302.00	Professional	TC	$144.54	$194.98	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $602.56	Professional		$257.04	$331.13	$602.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $112.20 / $190.55	Professional	26	$89.13	$112.20	$190.55
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $208.93 / $371.54	Professional	TC	$162.18	$208.93	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $398.11 / $660.69	Professional		$190.55	$398.11	$660.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $141.25 / $234.42	Professional	26	$114.82	$141.25	$234.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $245.47 / $436.52	Professional	TC	$74.13	$245.47	$436.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $457.09 / $891.25	Professional		$323.59	$457.09	$891.25
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $151.36 / $288.40	Professional	26	$107.15	$151.36	$288.40
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $309.03 / $602.56	Professional	TC	$218.78	$309.03	$602.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $346.74 / $812.83	Professional		$269.15	$346.74	$812.83
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $114.82 / $295.12	Professional	26	$93.33	$114.82	$295.12
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $245.47 / $501.19	Professional	TC	$158.49	$245.47	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $426.58 / $676.08	Professional		$263.03	$426.58	$676.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $147.91 / $223.87	Professional	26	$104.71	$147.91	$223.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $281.84 / $446.68	Professional	TC	$154.88	$281.84	$446.68