Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.06 / $344.61 / $480.29	Facility		$90.06	$344.61	$480.29
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.16 / $11.58 / $13.55	Facility	26	$11.16	$11.58	$13.55
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.16 / $90.65 / $215.16	Facility	TC	$24.16	$90.65	$215.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $35.75 / $55.39	Professional		$30.73	$35.75	$55.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.73 / $11.03 / $15.07	Professional	26	$9.73	$11.03	$15.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.01 / $24.16 / $40.29	Professional	TC	$21.01	$24.16	$40.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.66 / $122.47 / $200.99	Facility		$88.66	$122.47	$200.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $44.75 / $62.94	Professional		$32.02	$44.75	$62.94
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $13.25 / $18.43	Professional	26	$9.38	$13.25	$18.43
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.64 / $31.52 / $44.50	Professional	TC	$22.64	$31.52	$44.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $49.70 / $74.95	Professional		$34.54	$49.70	$74.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $15.98 / $22.68	Professional	26	$10.23	$15.98	$22.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.12 / $32.79 / $52.53	Professional	TC	$23.12	$32.79	$52.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $40.81 / $49.11 / $88.59	Professional		$40.81	$49.11	$88.59
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.95 / $14.39 / $25.94	Professional	26	$11.95	$14.39	$25.94
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $28.85 / $34.57 / $66.54	Professional	TC	$28.85	$34.57	$66.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $88.44 / $324.83 / $491.32	Facility		$88.44	$324.83	$491.32
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $11.16 / $11.58 / $13.55	Facility	26	$11.16	$11.58	$13.55
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $27.35 / $87.51 / $326.27	Facility	TC	$27.35	$87.51	$326.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $38.52 / $70.09	Professional		$34.14	$38.52	$70.09
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $11.58 / $21.38	Professional	26	$9.94	$11.58	$21.38
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $23.55 / $26.87 / $48.71	Professional	TC	$23.55	$26.87	$48.71
United Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $45.92 / $74.42	Professional		$29.70	$45.92	$74.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.08 / $15.96 / $24.13	Professional	26	$10.08	$15.96	$24.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.65 / $31.76 / $50.29	Professional	TC	$21.65	$31.76	$50.29