Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.33 / $303.33 / $590.04	Facility		$88.33	$303.33	$590.04
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.57 / $10.74	Facility	26	$9.30	$9.57	$10.74
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.78 / $89.10 / $303.02	Facility	TC	$25.78	$89.10	$303.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.44 / $32.42 / $53.93	Professional		$22.44	$32.42	$53.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.63 / $8.51 / $11.89	Professional	26	$7.63	$8.51	$11.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $23.06 / $42.04	Professional	TC	$18.82	$23.06	$42.04
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 $31.05 / $42.26 / $61.04	Professional		$31.05	$42.26	$61.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.44 / $10.50 / $14.63	Professional	26	$7.44	$10.50	$14.63
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 $30.56 / $43.91 / $70.80	Professional		$30.56	$43.91	$70.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $12.82 / $17.93	Professional	26	$8.32	$12.82	$17.93
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 $39.57 / $47.62 / $85.90	Professional		$39.57	$47.62	$85.90
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.48 / $11.41 / $20.58	Professional	26	$9.48	$11.41	$20.58
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $30.09 / $36.71 / $69.40	Professional	TC	$30.09	$36.71	$69.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $49.89 / $267.18 / $375.02	Facility		$49.89	$267.18	$375.02
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.57 / $10.74	Facility	26	$9.30	$9.57	$10.74
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $25.78 / $91.25 / $307.44	Facility	TC	$25.78	$91.25	$307.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $35.96 / $60.70	Professional		$26.46	$35.96	$60.70
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.63 / $9.57 / $16.93	Professional	26	$7.63	$9.57	$16.93
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $21.12 / $27.91 / $46.37	Professional	TC	$21.12	$27.91	$46.37
United Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $47.08 / $73.58	Professional		$31.76	$47.08	$73.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $11.98 / $19.91	Professional	26	$8.66	$11.98	$19.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.10 / $28.71 / $53.67	Professional	TC	$23.10	$28.71	$53.67