Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.93 / $322.93 / $629.71	Professional		$322.93	$322.93	$629.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $171.93 / $171.93 / $335.26	Professional	26	$171.93	$171.93	$335.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $150.99 / $150.99 / $294.43	Professional	TC	$150.99	$150.99	$294.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.41 / $553.19 / $692.44	Professional		$143.41	$553.19	$692.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.01 / $262.13 / $326.83	Professional	26	$71.01	$262.13	$326.83
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.40 / $274.14 / $365.61	Professional	TC	$72.40	$274.14	$365.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.16 / $326.16 / $816.25	Professional		$326.16	$326.16	$816.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $153.56 / $153.56 / $404.20	Professional	26	$153.56	$153.56	$404.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $172.60 / $172.60 / $412.06	Professional	TC	$172.60	$172.60	$412.06
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $451.77 / $542.12 / $980.70	Professional		$451.77	$542.12	$980.70
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $212.70 / $255.24 / $461.73	Professional	26	$212.70	$255.24	$461.73
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $239.08 / $286.89 / $518.99	Professional	TC	$239.08	$286.89	$518.99
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $322.93 / $629.71 / $1,179.58	Professional		$322.93	$629.71	$1,179.58
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $171.93 / $335.26 / $383.48	Professional	26	$171.93	$335.26	$383.48
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $150.99 / $294.43 / $816.59	Professional	TC	$150.99	$294.43	$816.59
United Facility/Professional Professional Modifier Low / Median / High Price $327.48 / $722.94 / $844.05	Professional		$327.48	$722.94	$844.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.60 / $268.51 / $449.39	Professional	26	$102.60	$268.51	$449.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $115.87 / $378.55 / $604.01	Professional	TC	$115.87	$378.55	$604.01