Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.89 / $289.60 / $606.67	Facility		$49.89	$289.60	$606.67
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.57 / $9.57 / $9.68	Facility	26	$9.57	$9.57	$9.68
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.53 / $78.09 / $86.49	Facility	TC	$22.53	$78.09	$86.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.57 / $30.71 / $52.26	Professional		$25.57	$30.71	$52.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $7.65 / $12.75	Professional	26	$6.74	$7.65	$12.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $22.52 / $36.82	Professional	TC	$18.82	$22.52	$36.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.34 / $102.69 / $168.54	Facility		$74.34	$102.69	$168.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $38.74 / $55.94	Professional		$28.46	$38.74	$55.94
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $10.96 / $15.26	Professional	26	$7.76	$10.96	$15.26
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $42.69 / $58.11 / $83.92	Professional	50	$42.69	$58.11	$83.92
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.70 / $27.63 / $40.68	Professional	TC	$20.70	$27.63	$40.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $40.15 / $64.80	Professional		$27.30	$40.15	$64.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.37 / $12.77 / $18.72	Professional	26	$7.37	$12.77	$18.72
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $39.76 / $39.76 / $39.76	Professional	50	$39.76	$39.76	$39.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.89 / $29.96 / $47.01	Professional	TC	$18.89	$29.96	$47.01
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $43.64 / $78.73	Professional		$36.27	$43.64	$78.73
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.89 / $11.90 / $21.47	Professional	26	$9.89	$11.90	$21.47
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $26.38 / $31.61 / $60.85	Professional	TC	$26.38	$31.61	$60.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $78.09 / $266.27 / $496.64	Facility		$78.09	$266.27	$496.64
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $9.57 / $9.57 / $9.68	Facility	26	$9.57	$9.57	$9.68
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $24.46 / $79.98 / $86.49	Facility	TC	$24.46	$79.98	$86.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.57 / $32.86 / $59.66	Professional		$25.57	$32.86	$59.66
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $9.57 / $17.62	Professional	26	$6.74	$9.57	$17.62
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $23.48 / $40.97	Professional	TC	$18.82	$23.48	$40.97
United Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $36.57 / $66.84	Professional		$28.87	$36.57	$66.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $11.46 / $19.92	Professional	26	$8.31	$11.46	$19.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.30 / $26.38 / $46.93	Professional	TC	$18.30	$26.38	$46.93