Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.49 / $320.92 / $438.79	Facility		$50.49	$320.92	$438.79
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.80 / $12.80 / $14.97	Facility	26	$12.80	$12.80	$14.97
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $30.23 / $108.84 / $398.00	Facility	TC	$30.23	$108.84	$398.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $43.03 / $70.93	Professional		$35.10	$43.03	$70.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $11.47 / $18.63	Professional	26	$10.02	$11.47	$18.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.05 / $30.23 / $51.04	Professional	TC	$25.05	$30.23	$51.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.12 / $138.29 / $226.97	Facility		$100.12	$138.29	$226.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $52.38 / $75.66	Professional		$38.49	$52.38	$75.66
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $14.60 / $20.34	Professional	26	$10.35	$14.60	$20.34
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.14 / $37.57 / $55.31	Professional	TC	$28.14	$37.57	$55.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.08 / $54.00 / $88.07	Professional		$37.08	$54.00	$88.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $17.14 / $25.06	Professional	26	$10.23	$17.14	$25.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.31 / $38.03 / $64.27	Professional	TC	$25.31	$38.03	$64.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $49.05 / $59.02 / $106.48	Professional		$49.05	$59.02	$106.48
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $13.19 / $15.88 / $28.63	Professional	26	$13.19	$15.88	$28.63
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $35.86 / $43.16 / $82.71	Professional	TC	$35.86	$43.16	$82.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $50.49 / $306.55 / $401.48	Facility		$50.49	$306.55	$401.48
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $12.32 / $12.80 / $66.08	Facility	26	$12.32	$12.80	$66.08
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $30.23 / $108.84 / $398.00	Facility	TC	$30.23	$108.84	$398.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $39.14 / $47.07 / $75.34	Professional		$39.14	$47.07	$75.34
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $10.75 / $12.80 / $23.06	Professional	26	$10.75	$12.80	$23.06
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $28.08 / $33.43 / $55.30	Professional	TC	$28.08	$33.43	$55.30
United Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $46.70 / $89.60	Professional		$37.04	$46.70	$89.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.13 / $16.04 / $26.65	Professional	26	$11.13	$16.04	$26.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $31.93 / $63.65	Professional	TC	$24.55	$31.93	$63.65