Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $239.88 / $457.09	Facility		$48.98	$239.88	$457.09
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $10.47 / $45.71	Facility	26	$9.55	$10.47	$45.71
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.44 / $75.86 / $302.00	Facility	TC	$23.44	$75.86	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $32.36 / $72.44	Professional		$24.55	$32.36	$72.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.12 / $25.12	Professional	26	$7.08	$9.12	$25.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $21.88 / $50.12	Professional	TC	$15.14	$21.88	$50.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $93.33 / $93.33	Facility		$74.13	$93.33	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $36.31 / $53.70	Professional		$23.99	$36.31	$53.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $10.72 / $15.85	Professional	26	$6.76	$10.72	$15.85
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $25.70 / $37.15	Professional	TC	$16.98	$25.70	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $38.02 / $63.10	Professional		$26.30	$38.02	$63.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $12.30 / $20.89	Professional	26	$8.32	$12.30	$20.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $26.92 / $44.67	Professional	TC	$17.78	$26.92	$44.67
Community Health Options Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $79.43	Professional		$33.88	$42.66	$79.43
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.59 / $23.99	Professional	26	$10.00	$12.59	$23.99
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $30.90 / $58.88	Professional	TC	$24.55	$30.90	$58.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $239.88 / $446.68	Facility		$46.77	$239.88	$446.68
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $10.00 / $45.71	Facility	26	$9.55	$10.00	$45.71
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $22.91 / $75.86 / $302.00	Facility	TC	$22.91	$75.86	$302.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $36.31 / $72.44	Professional		$25.70	$36.31	$72.44
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.96 / $22.91	Professional	26	$7.94	$10.96	$22.91
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $25.12 / $53.70	Professional	TC	$18.20	$25.12	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $42.66 / $74.13	Professional		$26.92	$42.66	$74.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $12.59 / $22.39	Professional	26	$8.71	$12.59	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $30.20 / $48.98	Professional	TC	$18.62	$30.20	$48.98