Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $263.03 / $426.58	Facility		$87.10	$263.03	$426.58
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $9.55 / $10.47	Facility	26	$9.55	$9.55	$10.47
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.70 / $83.18 / $257.04	Facility	TC	$25.70	$83.18	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $33.88 / $72.44	Professional		$13.80	$33.88	$72.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $9.55 / $25.12	Professional	26	$6.76	$9.55	$25.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $14.45 / $35.48 / $190.55	Professional	50	$14.45	$35.48	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $23.99 / $60.26	Professional	TC	$15.85	$23.99	$60.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $102.33 / $102.33	Facility		$81.28	$102.33	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.02 / $54.95	Professional		$25.12	$38.02	$54.95
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 50 Low / Median / High Price $37.15 / $57.54 / $83.18	Professional	50	$37.15	$57.54	$83.18
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $27.54 / $39.81	Professional	TC	$18.62	$27.54	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $38.90 / $66.07	Professional		$26.30	$38.90	$66.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.96 / $19.05	Professional	26	$7.59	$10.96	$19.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $28.18 / $48.98	Professional	TC	$19.05	$28.18	$48.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $45.71 / $87.10	Professional		$33.88	$45.71	$87.10
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $11.75 / $21.88	Professional	26	$9.33	$11.75	$21.88
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $32.36 / $61.66	Professional	TC	$25.70	$32.36	$61.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $263.03 / $446.68	Facility		$87.10	$263.03	$446.68
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $9.55 / $10.47	Facility	26	$9.55	$9.55	$10.47
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $25.70 / $83.18 / $257.04	Facility	TC	$25.70	$83.18	$257.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $35.48 / $72.44	Professional		$18.20	$35.48	$72.44
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.72 / $23.99	Professional	26	$7.08	$10.72	$23.99
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $50.12 / $52.48 / $190.55	Professional	50	$50.12	$52.48	$190.55
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $27.54 / $52.48	Professional	TC	$19.05	$27.54	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.02 / $74.13	Professional		$26.92	$38.02	$74.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $11.75 / $21.38	Professional	26	$8.32	$11.75	$21.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $26.30 / $46.77	Professional	TC	$19.50	$26.30	$46.77