Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.49 / $290.32 / $351.49	Facility		$50.49	$290.32	$351.49
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.59 / $9.97 / $11.53	Facility	26	$9.59	$9.97	$11.53
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.14 / $70.20 / $303.02	Facility	TC	$22.14	$70.20	$303.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $29.28 / $49.14	Professional		$24.30	$29.28	$49.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $8.91 / $13.61	Professional	26	$7.58	$8.91	$13.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.35 / $20.00 / $33.92	Professional	TC	$16.35	$20.00	$33.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $92.84 / $152.36	Facility		$67.20	$92.84	$152.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.17 / $37.90 / $53.40	Professional		$27.17	$37.90	$53.40
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.09 / $11.41 / $15.89	Professional	26	$8.09	$11.41	$15.89
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.07 / $26.48 / $37.51	Professional	TC	$19.07	$26.48	$37.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $43.33 / $65.06	Professional		$32.65	$43.33	$65.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $13.36 / $19.52	Professional	26	$8.32	$13.36	$19.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.89 / $29.86 / $45.54	Professional	TC	$18.89	$29.86	$45.54
Community Health Options Facility/Professional Facility Modifier Low / Median / High Price $272.00 / $272.00 / $272.00	Facility		$272.00	$272.00	$272.00
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $41.67 / $75.15	Professional		$34.61	$41.67	$75.15
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.31 / $12.40 / $22.38	Professional	26	$10.31	$12.40	$22.38
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $24.32 / $29.85 / $56.09	Professional	TC	$24.32	$29.85	$56.09
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $46.36 / $283.69 / $452.40	Facility		$46.36	$283.69	$452.40
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $9.59 / $9.97 / $46.04	Facility	26	$9.59	$9.97	$46.04
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $22.54 / $73.70 / $307.56	Facility	TC	$22.54	$73.70	$307.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $32.64 / $53.03	Professional		$27.07	$32.64	$53.03
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $9.97 / $17.39	Professional	26	$7.95	$9.97	$17.39
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $18.32 / $22.62 / $41.02	Professional	TC	$18.32	$22.62	$41.02
United Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $42.85 / $66.84	Professional		$28.87	$42.85	$66.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $14.43 / $16.80	Professional	26	$9.02	$14.43	$16.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.85 / $31.40 / $49.20	Professional	TC	$19.85	$31.40	$49.20