Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $302.00 / $416.87	Facility		$56.23	$302.00	$416.87
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $12.88 / $66.07	Facility	26	$12.30	$12.88	$66.07
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $30.20 / $114.82 / $389.05	Facility	TC	$30.20	$114.82	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $53.70 / $89.13	Professional		$33.11	$53.70	$89.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $13.80 / $31.62	Professional	26	$8.91	$13.80	$31.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $34.67 / $77.62	Professional	TC	$22.91	$34.67	$77.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $138.04 / $138.04	Facility		$109.65	$138.04	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $51.29 / $74.13	Professional		$33.88	$51.29	$74.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $13.80 / $20.42	Professional	26	$8.71	$13.80	$20.42
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $36.31 / $51.29	Professional	TC	$25.12	$36.31	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $53.70 / $91.20	Professional		$34.67	$53.70	$91.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $15.49 / $26.92	Professional	26	$10.23	$15.49	$26.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $37.15 / $66.07	Professional	TC	$24.55	$37.15	$66.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $63.10 / $120.23	Professional		$43.65	$63.10	$120.23
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $15.85 / $29.51	Professional	26	$12.59	$15.85	$29.51
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $44.67 / $83.18	Professional	TC	$35.48	$44.67	$83.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $302.00 / $426.58	Facility		$50.12	$302.00	$426.58
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $12.88 / $66.07	Facility	26	$12.30	$12.88	$66.07
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $30.20 / $114.82 / $398.11	Facility	TC	$30.20	$114.82	$398.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $53.70 / $95.50	Professional		$36.31	$53.70	$95.50
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $14.79 / $28.84	Professional	26	$10.00	$14.79	$28.84
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $37.15 / $70.79	Professional	TC	$25.12	$37.15	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $51.29 / $97.72	Professional		$35.48	$51.29	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $15.85 / $28.18	Professional	26	$11.22	$15.85	$28.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $36.31 / $64.57	Professional	TC	$24.55	$36.31	$64.57