Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.43 / $289.60 / $355.17	Facility		$99.43	$289.60	$355.17
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.57 / $10.59	Facility	26	$9.30	$9.57	$10.59
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.94 / $79.31 / $258.02	Facility	TC	$22.94	$79.31	$258.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.92 / $30.71 / $52.26	Professional		$19.92	$30.71	$52.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $7.98 / $12.53	Professional	26	$7.03	$7.98	$12.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.21 / $22.29 / $38.93	Professional	TC	$18.21	$22.29	$38.93
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 / $39.14 / $55.94	Professional		$28.46	$39.14	$55.94
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 50 Low / Median / High Price $42.69 / $58.72 / $83.92	Professional	50	$42.69	$58.72	$83.92
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.03 / $28.06 / $41.33	Professional	TC	$21.03	$28.06	$41.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $40.15 / $64.80	Professional		$28.39	$40.15	$64.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $12.64 / $17.93	Professional	26	$7.58	$12.64	$17.93
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $41.33 / $41.33 / $41.33	Professional	50	$41.33	$41.33	$41.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.89 / $30.00 / $47.76	Professional	TC	$18.89	$30.00	$47.76
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 $9.48 / $11.41 / $20.58	Professional	26	$9.48	$11.41	$20.58
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $26.79 / $32.24 / $58.16	Professional	TC	$26.79	$32.24	$58.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $83.60 / $266.06 / $506.86	Facility		$83.60	$266.06	$506.86
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.57 / $10.59	Facility	26	$9.30	$9.57	$10.59
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $24.84 / $81.22 / $258.02	Facility	TC	$24.84	$81.22	$258.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $34.15 / $56.63	Professional		$25.25	$34.15	$56.63
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.31 / $9.57 / $16.93	Professional	26	$7.31	$9.57	$16.93
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $24.94 / $41.26	Professional	TC	$20.42	$24.94	$41.26
United Facility/Professional Professional Modifier Low / Median / High Price $29.23 / $35.90 / $69.98	Professional		$29.23	$35.90	$69.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $11.98 / $19.92	Professional	26	$8.66	$11.98	$19.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.38 / $27.44 / $44.41	Professional	TC	$20.38	$27.44	$44.41