Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $108.22 / $108.22 / $108.22	Facility	26	$108.22	$108.22	$108.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.00 / $347.32 / $487.30	Professional		$268.00	$347.32	$487.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.31 / $105.12 / $156.32	Professional	26	$94.31	$105.12	$156.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $159.78 / $253.00 / $330.97	Professional	TC	$159.78	$253.00	$330.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.74 / $320.58 / $533.42	Professional		$281.74	$320.58	$533.42
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $96.39 / $123.76 / $182.51	Professional	26	$96.39	$123.76	$182.51
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $185.35 / $196.84 / $350.92	Professional	TC	$185.35	$196.84	$350.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.38 / $427.10 / $629.05	Professional		$309.38	$427.10	$629.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $115.26 / $157.60 / $235.71	Professional	26	$115.26	$157.60	$235.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $180.55 / $273.95 / $393.34	Professional	TC	$180.55	$273.95	$393.34
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $305.18 / $376.98 / $637.24	Professional		$305.18	$376.98	$637.24
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $104.41 / $128.97 / $218.03	Professional	26	$104.41	$128.97	$218.03
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $200.76 / $248.00 / $419.21	Professional	TC	$200.76	$248.00	$419.21
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $268.00 / $347.32 / $552.00	Professional		$268.00	$347.32	$552.00
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $94.31 / $108.22 / $177.90	Professional	26	$94.31	$108.22	$177.90
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $159.78 / $253.00 / $364.86	Professional	TC	$159.78	$253.00	$364.86
United Facility/Professional Professional Modifier Low / Median / High Price $261.29 / $431.22 / $600.23	Professional		$261.29	$431.22	$600.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $120.81 / $153.27 / $201.94	Professional	26	$120.81	$153.27	$201.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $155.19 / $281.87 / $398.29	Professional	TC	$155.19	$281.87	$398.29