Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $223.87 / $371.54	Facility		$89.13	$223.87	$371.54
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $10.00 / $11.48	Facility	26	$9.55	$10.00	$11.48
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.84 / $93.33 / $302.00	Facility	TC	$28.84	$93.33	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $38.02 / $79.43	Professional		$17.78	$38.02	$79.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $8.91 / $25.12	Professional	26	$6.61	$8.91	$25.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $26.92 / $58.88	Professional	TC	$16.98	$26.92	$58.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $109.65 / $109.65	Facility		$89.13	$109.65	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $41.69 / $60.26	Professional		$27.54	$41.69	$60.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $10.00 / $14.79	Professional	26	$6.31	$10.00	$14.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $30.20 / $44.67	Professional	TC	$20.89	$30.20	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $42.66 / $72.44	Professional		$29.51	$42.66	$72.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $11.75 / $19.05	Professional	26	$8.32	$11.75	$19.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $31.62 / $56.23	Professional	TC	$21.38	$31.62	$56.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.98 / $91.20	Professional		$38.02	$48.98	$91.20
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $12.30 / $23.99	Professional	26	$9.77	$12.30	$23.99
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $38.02 / $75.86	Professional	TC	$29.51	$38.02	$75.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $239.88 / $371.54	Facility		$50.12	$239.88	$371.54
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $10.00 / $11.48	Facility	26	$9.55	$10.00	$11.48
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $25.70 / $93.33 / $309.03	Facility	TC	$25.70	$93.33	$309.03
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $38.90 / $79.43	Professional		$20.89	$38.90	$79.43
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.96 / $22.91	Professional	26	$7.59	$10.96	$22.91
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $30.90 / $58.88	Professional	TC	$20.89	$30.90	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $42.66 / $81.28	Professional		$29.51	$42.66	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $12.02 / $21.38	Professional	26	$8.32	$12.02	$21.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $29.51 / $52.48	Professional	TC	$21.88	$29.51	$52.48