Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.06 / $305.61 / $707.90	Facility		$59.06	$305.61	$707.90
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.77 / $10.77 / $56.51	Facility	26	$10.77	$10.77	$56.51
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.58 / $104.12 / $420.26	Facility	TC	$26.58	$104.12	$420.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $37.38 / $67.98	Professional		$22.51	$37.38	$67.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.56 / $9.78 / $15.94	Professional	26	$8.56	$9.78	$15.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $52.80 / $61.66 / $106.86	Professional	50	$52.80	$61.66	$106.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.14 / $23.87 / $44.36	Professional	TC	$19.14	$23.87	$44.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $110.64 / $181.58	Facility		$80.09	$110.64	$181.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.64 / $45.21 / $66.76	Professional		$33.64	$45.21	$66.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.73 / $12.33 / $17.17	Professional	26	$8.73	$12.33	$17.17
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $50.46 / $67.81 / $100.14	Professional	50	$50.46	$67.81	$100.14
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.91 / $31.59 / $49.58	Professional	TC	$24.91	$31.59	$49.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $47.55 / $76.81	Professional		$31.82	$47.55	$76.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $14.44 / $21.10	Professional	26	$8.71	$14.44	$21.10
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $44.46 / $44.46 / $44.46	Professional	50	$44.46	$44.46	$44.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.35 / $33.40 / $56.77	Professional	TC	$22.35	$33.40	$56.77
Community Health Options Facility/Professional Facility Modifier Low / Median / High Price $509.50 / $509.50 / $509.50	Facility		$509.50	$509.50	$509.50
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $29.00 / $44.00	Professional		$29.00	$29.00	$44.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $42.87 / $50.30 / $93.06	Professional		$42.87	$50.30	$93.06
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.13 / $13.39 / $24.16	Professional	26	$11.13	$13.39	$24.16
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $31.74 / $38.19 / $68.90	Professional	TC	$31.74	$38.19	$68.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $289.11 / $671.24	Facility		$64.40	$289.11	$671.24
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $10.38 / $10.92 / $320.92	Facility	26	$10.38	$10.92	$320.92
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $26.58 / $96.26 / $431.58	Facility	TC	$26.58	$96.26	$431.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $27.71 / $40.47 / $69.86	Professional		$27.71	$40.47	$69.86
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $10.77 / $17.00	Professional	26	$9.19	$10.77	$17.00
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $52.80 / $61.66 / $106.86	Professional	50	$52.80	$61.66	$106.86
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $21.69 / $27.17 / $48.92	Professional	TC	$21.69	$27.17	$48.92
United Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $46.93 / $77.80	Professional		$33.56	$46.93	$77.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.36 / $13.49 / $22.45	Professional	26	$9.36	$13.49	$22.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.95 / $28.48 / $55.35	Professional	TC	$22.95	$28.48	$55.35