Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $275.42 / $426.58	Facility		$89.13	$275.42	$426.58
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $10.47 / $47.86	Facility	26	$9.55	$10.47	$47.86
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.12 / $95.50 / $288.40	Facility	TC	$25.12	$95.50	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $44.67 / $91.20	Professional		$14.79	$44.67	$91.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.00 / $28.18	Professional	26	$7.08	$10.00	$28.18
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $18.62 / $56.23 / $213.80	Professional	50	$18.62	$56.23	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $36.31 / $89.13	Professional	TC	$20.89	$36.31	$89.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $138.04 / $138.04	Facility		$109.65	$138.04	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $42.66 / $61.66	Professional		$28.18	$42.66	$61.66
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $10.72 / $15.85	Professional	26	$6.76	$10.72	$15.85
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $41.69 / $63.10 / $91.20	Professional	50	$41.69	$63.10	$91.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $30.20 / $45.71	Professional	TC	$20.89	$30.20	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $45.71 / $74.13	Professional		$30.20	$45.71	$74.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $12.02 / $20.89	Professional	26	$8.32	$12.02	$20.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $33.11 / $56.23	Professional	TC	$21.38	$33.11	$56.23
Community Health Options Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $100.00	Professional		$39.81	$50.12	$100.00
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.59 / $23.99	Professional	26	$10.00	$12.59	$23.99
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $37.15 / $74.13	Professional	TC	$30.20	$37.15	$74.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $281.84 / $426.58	Facility		$85.11	$281.84	$426.58
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $10.00 / $47.86	Facility	26	$9.55	$10.00	$47.86
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $25.12 / $95.50 / $331.13	Facility	TC	$25.12	$95.50	$331.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $43.65 / $89.13	Professional		$21.88	$43.65	$89.13
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $11.75 / $26.30	Professional	26	$7.94	$11.75	$26.30
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $46.77 / $56.23 / $239.88	Professional	50	$46.77	$56.23	$239.88
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $33.11 / $70.79	Professional	TC	$23.44	$33.11	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $43.65 / $85.11	Professional		$29.51	$43.65	$85.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $12.30 / $22.39	Professional	26	$8.71	$12.30	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $31.62 / $54.95	Professional	TC	$21.38	$31.62	$54.95