Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.55 / $290.32 / $367.40	Facility		$102.55	$290.32	$367.40
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.58 / $11.58 / $11.58	Facility	26	$11.58	$11.58	$11.58
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.62 / $102.55 / $110.93	Facility	TC	$28.62	$102.55	$110.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $37.81 / $60.75	Professional		$33.50	$37.81	$60.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.52 / $11.58 / $13.48	Professional	26	$9.52	$11.58	$13.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.87 / $25.92 / $47.26	Professional	TC	$22.87	$25.92	$47.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.37 / $130.35 / $213.94	Facility		$94.37	$130.35	$213.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.93 / $48.88 / $68.67	Professional		$34.93	$48.88	$68.67
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $11.88 / $16.52	Professional	26	$8.41	$11.88	$16.52
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.52 / $35.40 / $52.14	Professional	TC	$26.52	$35.40	$52.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $55.73 / $84.02	Professional		$34.47	$55.73	$84.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.74 / $15.53 / $21.00	Professional	26	$10.74	$15.53	$21.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.07 / $37.65 / $63.71	Professional	TC	$25.07	$37.65	$63.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $44.52 / $53.57 / $96.64	Professional		$44.52	$53.57	$96.64
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $12.90 / $23.27	Professional	26	$10.72	$12.90	$23.27
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $33.79 / $41.24 / $77.95	Professional	TC	$33.79	$41.24	$77.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $100.14 / $110.93 / $445.79	Facility		$100.14	$110.93	$445.79
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $100.14 / $102.55 / $110.93	Facility	TC	$100.14	$102.55	$110.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $40.21 / $79.73	Professional		$33.50	$40.21	$79.73
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $9.64 / $12.04 / $21.82	Professional	26	$9.64	$12.04	$21.82
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $22.87 / $28.62 / $57.08	Professional	TC	$22.87	$28.62	$57.08
United Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $53.92 / $73.58	Professional		$39.90	$53.92	$73.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $17.48 / $24.73	Professional	26	$10.47	$17.48	$24.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.14 / $31.89 / $59.57	Professional	TC	$25.14	$31.89	$59.57