Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $295.12 / $549.54	Facility		$67.61	$295.12	$549.54
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.47 / $48.98	Facility	26	$10.00	$10.47	$48.98
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.42 / $66.07 / $467.74	Facility	TC	$20.42	$66.07	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $28.84 / $57.54	Professional		$15.85	$28.84	$57.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.12 / $25.12	Professional	26	$7.08	$9.12	$25.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.91 / $18.20 / $31.62	Professional	TC	$8.91	$18.20	$31.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $58.88 / $58.88	Facility		$47.86	$58.88	$58.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.88 / $48.98	Professional		$22.91	$33.88	$48.98
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $11.22 / $15.85	Professional	26	$7.41	$11.22	$15.85
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $21.38 / $31.62	Professional	TC	$15.49	$21.38	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $58.88	Professional		$23.99	$32.36	$58.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $11.75 / $21.88	Professional	26	$9.77	$11.75	$21.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $18.62 / $39.81	Professional	TC	$12.88	$18.62	$39.81
Community Health Options Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.90 / $40.74	Professional		$22.91	$38.90	$40.74
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.02 / $72.44	Professional		$22.91	$38.02	$72.44
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.59 / $23.44	Professional	26	$10.00	$12.59	$23.44
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $26.30 / $51.29	Professional	TC	$20.89	$26.30	$51.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $269.15 / $489.78	Facility		$64.57	$269.15	$489.78
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.47 / $48.98	Facility	26	$10.00	$10.47	$48.98
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $18.62 / $66.07 / $416.87	Facility	TC	$18.62	$66.07	$416.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.90 / $57.54	Professional		$19.95	$30.90	$57.54
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.47 / $22.39	Professional	26	$7.94	$10.47	$22.39
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $20.42 / $38.02	Professional	TC	$10.96	$20.42	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $31.62 / $66.07	Professional		$23.99	$31.62	$66.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $12.88 / $23.44	Professional	26	$9.12	$12.88	$23.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $20.89 / $40.74	Professional	TC	$13.18	$20.89	$40.74