Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.69 / $296.45 / $520.20	Facility		$85.69	$296.45	$520.20
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.40 / $12.59 / $64.08	Facility	26	$12.40	$12.59	$64.08
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.57 / $90.65 / $409.92	Facility	TC	$24.57	$90.65	$409.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $33.15 / $56.40	Professional		$27.58	$33.15	$56.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.66 / $11.08 / $18.46	Professional	26	$9.66	$11.08	$18.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.92 / $22.12 / $40.29	Professional	TC	$17.92	$22.12	$40.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.51 / $108.44 / $177.98	Facility		$78.51	$108.44	$177.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.67 / $44.46 / $64.22	Professional		$32.67	$44.46	$64.22
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $14.16 / $19.71	Professional	26	$10.02	$14.16	$19.71
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.64 / $30.22 / $44.50	Professional	TC	$22.64	$30.22	$44.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $44.55 / $74.56	Professional		$35.04	$44.55	$74.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $16.39 / $24.27	Professional	26	$11.75	$16.39	$24.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.93 / $30.32 / $51.52	Professional	TC	$20.93	$30.32	$51.52
Community Health Options Facility/Professional Facility Modifier Low / Median / High Price $363.05 / $363.05 / $363.05	Facility		$363.05	$363.05	$363.05
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $44.00 / $65.34	Professional		$32.00	$44.00	$65.34
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $48.17 / $90.37	Professional		$29.48	$48.17	$90.37
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $12.78 / $15.38 / $27.74	Professional	26	$12.78	$15.38	$27.74
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $28.85 / $35.20 / $66.54	Professional	TC	$28.85	$35.20	$66.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $79.23 / $254.54 / $496.40	Facility		$79.23	$254.54	$496.40
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $12.40 / $14.53 / $64.08	Facility	26	$12.40	$14.53	$64.08
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $26.76 / $92.04 / $410.35	Facility	TC	$26.76	$92.04	$410.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $37.60 / $63.86	Professional		$29.80	$37.60	$63.86
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $10.14 / $12.40 / $19.39	Professional	26	$10.14	$12.40	$19.39
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $19.66 / $24.70 / $44.46	Professional	TC	$19.66	$24.70	$44.46
United Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $43.15 / $76.97	Professional		$33.20	$43.15	$76.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.19 / $15.57 / $25.82	Professional	26	$11.19	$15.57	$25.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.32 / $27.70 / $54.63	Professional	TC	$20.32	$27.70	$54.63