Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.02 / $243.67 / $398.94	Facility		$98.02	$243.67	$398.94
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.21 / $9.57 / $11.07	Facility	26	$9.21	$9.57	$11.07
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.39 / $94.00 / $291.49	Facility	TC	$27.39	$94.00	$291.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.87 / $34.10 / $60.46	Professional		$22.87	$34.10	$60.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.66 / $8.46 / $12.48	Professional	26	$7.66	$8.46	$12.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $52.88 / $52.88 / $52.88	Professional	50	$52.88	$52.88	$52.88
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.22 / $15.64 / $18.48	Professional	52	$11.22	$15.64	$18.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.07 / $24.59 / $44.36	Professional	TC	$20.07	$24.59	$44.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.23 / $106.69 / $175.10	Facility		$77.23	$106.69	$175.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $44.90 / $64.84	Professional		$32.72	$44.90	$64.84
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 $49.09 / $67.34 / $97.27	Professional	50	$49.09	$67.34	$97.27
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.99 / $33.25 / $49.58	Professional	TC	$24.99	$33.25	$49.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $45.94 / $79.28	Professional		$31.20	$45.94	$79.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.92 / $13.15 / $18.72	Professional	26	$7.92	$13.15	$18.72
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $47.09 / $47.09 / $47.09	Professional	50	$47.09	$47.09	$47.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.06 / $33.85 / $60.55	Professional	TC	$22.06	$33.85	$60.55
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $26.00 / $26.00	Professional		$26.00	$26.00	$26.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $51.10 / $96.02	Professional		$22.81	$51.10	$96.02
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.89 / $11.60 / $21.47	Professional	26	$9.89	$11.60	$21.47
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $31.74 / $38.03 / $73.20	Professional	TC	$31.74	$38.03	$73.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $47.25 / $236.12 / $365.03	Facility		$47.25	$236.12	$365.03
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $9.21 / $9.57 / $42.95	Facility	26	$9.21	$9.57	$42.95
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $27.39 / $96.26 / $303.02	Facility	TC	$27.39	$96.26	$303.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $36.97 / $63.64	Professional		$27.73	$36.97	$63.64
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $8.08 / $9.57 / $14.97	Professional	26	$8.08	$9.57	$14.97
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $52.88 / $52.88 / $52.88	Professional	50	$52.88	$52.88	$52.88
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $11.44 / $18.48 / $27.85	Professional	52	$11.44	$18.48	$27.85
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $20.07 / $27.40 / $48.12	Professional	TC	$20.07	$27.40	$48.12
United Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $47.08 / $76.97	Professional		$33.20	$47.08	$76.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $12.12 / $19.92	Professional	26	$8.66	$12.12	$19.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.23 / $32.61 / $60.93	Professional	TC	$24.23	$32.61	$60.93