Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $245.47 / $524.81	Facility		$85.11	$245.47	$524.81
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $14.45 / $426.58	Facility	26	$12.30	$14.45	$426.58
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.54 / $89.13 / $407.38	Facility	TC	$27.54	$89.13	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.90 / $77.62	Professional		$27.54	$38.90	$77.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $12.02 / $26.30	Professional	26	$8.32	$12.02	$26.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $26.92 / $51.29	Professional	TC	$17.38	$26.92	$51.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $109.65 / $109.65	Facility		$87.10	$109.65	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $43.65 / $63.10	Professional		$30.20	$43.65	$63.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $13.49 / $19.50	Professional	26	$8.71	$13.49	$19.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $28.84 / $41.69	Professional	TC	$21.38	$28.84	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $43.65 / $75.86	Professional		$32.36	$43.65	$75.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $14.13 / $25.70	Professional	26	$11.75	$14.13	$25.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $28.84 / $53.70	Professional	TC	$20.42	$28.84	$53.70
Community Health Options Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $43.65 / $66.07	Professional		$32.36	$43.65	$66.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $50.12 / $95.50	Professional		$38.90	$50.12	$95.50
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $15.14 / $28.18	Professional	26	$12.02	$15.14	$28.18
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $34.67 / $69.18	Professional	TC	$27.54	$34.67	$69.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $245.47 / $501.19	Facility		$81.28	$245.47	$501.19
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $14.45 / $64.57	Facility	26	$12.30	$14.45	$64.57
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $27.54 / $89.13 / $436.52	Facility	TC	$27.54	$89.13	$436.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $41.69 / $74.13	Professional		$28.84	$41.69	$74.13
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $12.88 / $25.12	Professional	26	$9.55	$12.88	$25.12
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $28.18 / $53.70	Professional	TC	$19.50	$28.18	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $43.65 / $85.11	Professional		$30.90	$43.65	$85.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $15.49 / $28.18	Professional	26	$10.72	$15.49	$28.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $28.84 / $54.95	Professional	TC	$19.95	$28.84	$54.95