Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.89 / $320.38 / $547.22	Facility		$70.89	$320.38	$547.22
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.38 / $10.38 / $49.15	Facility	26	$10.38	$10.38	$49.15
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.48 / $64.90 / $416.33	Facility	TC	$18.48	$64.90	$416.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.06 / $43.36	Professional		$17.78	$21.06	$43.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $9.30 / $15.44	Professional	26	$7.78	$9.30	$15.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.69 / $11.72 / $29.88	Professional	TC	$9.69	$11.72	$29.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.82 / $59.15 / $97.08	Facility		$42.82	$59.15	$97.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $34.69 / $48.95	Professional		$25.23	$34.69	$48.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $11.88 / $15.89	Professional	26	$8.41	$11.88	$15.89
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.82 / $21.80 / $28.88	Professional	TC	$16.82	$21.80	$28.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.74 / $33.72 / $57.30	Professional		$23.74	$33.72	$57.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.84 / $13.72 / $20.30	Professional	26	$9.84	$13.72	$20.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.02 / $21.90 / $38.01	Professional	TC	$13.02	$21.90	$38.01
Community Health Options Facility/Professional Facility Modifier Low / Median / High Price $342.83 / $342.83 / $342.83	Facility		$342.83	$342.83	$342.83
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $22.71 / $39.00 / $39.86	Professional		$22.71	$39.00	$39.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $38.69 / $69.79	Professional		$32.15	$38.69	$69.79
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 $21.43 / $25.79 / $46.52	Professional	TC	$21.43	$25.79	$46.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $65.23 / $288.11 / $493.15	Facility		$65.23	$288.11	$493.15
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $9.99 / $10.52 / $49.50	Facility	26	$9.99	$10.52	$49.50
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $18.48 / $64.90 / $467.53	Facility	TC	$18.48	$64.90	$467.53
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $30.27 / $49.19	Professional		$19.14	$30.27	$49.19
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.38 / $18.05	Professional	26	$8.13	$10.38	$18.05
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $10.66 / $19.92 / $32.97	Professional	TC	$10.66	$19.92	$32.97
United Facility/Professional Professional Modifier Low / Median / High Price $24.05 / $27.95 / $60.11	Professional		$24.05	$27.95	$60.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $13.02 / $23.08	Professional	26	$9.38	$13.02	$23.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.66 / $18.30 / $36.13	Professional	TC	$13.66	$18.30	$36.13