Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.33 / $446.64 / $527.96	Facility		$88.33	$446.64	$527.96
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.97 / $9.97 / $11.53	Facility	26	$9.97	$9.97	$11.53
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.37 / $89.10 / $98.69	Facility	TC	$25.37	$89.10	$98.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $32.43 / $55.03	Professional		$26.46	$32.43	$55.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.32 / $12.99	Professional	26	$7.33	$8.32	$12.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.14 / $23.45 / $42.04	Professional	TC	$19.14	$23.45	$42.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.52 / $112.61 / $184.81	Facility		$81.52	$112.61	$184.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $43.14 / $62.31	Professional		$31.70	$43.14	$62.31
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 $23.61 / $31.51 / $46.41	Professional	TC	$23.61	$31.51	$46.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.92 / $44.79 / $72.30	Professional		$30.92	$44.79	$72.30
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 $21.24 / $33.00 / $53.77	Professional	TC	$21.24	$33.00	$53.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $48.61 / $87.70	Professional		$40.40	$48.61	$87.70
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 $34.81 / $46.82 / $69.40	Professional	TC	$34.81	$46.82	$69.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $88.33 / $268.30 / $522.04	Facility		$88.33	$268.30	$522.04
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $9.97 / $10.11 / $11.53	Facility	26	$9.97	$10.11	$11.53
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $27.91 / $91.25 / $98.69	Facility	TC	$27.91	$91.25	$98.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $38.68 / $61.97	Professional		$29.48	$38.68	$61.97
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.60 / $9.97 / $18.39	Professional	26	$7.60	$9.97	$18.39
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $21.46 / $28.39 / $46.37	Professional	TC	$21.46	$28.39	$46.37
United Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $39.40 / $73.58	Professional		$31.76	$39.40	$73.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $12.50 / $20.77	Professional	26	$9.02	$12.50	$20.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.74 / $27.19 / $52.81	Professional	TC	$22.74	$27.19	$52.81