Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.22 / $266.47 / $648.74	Facility		$85.22	$266.47	$648.74
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.97 / $9.97 / $52.81	Facility	26	$9.97	$9.97	$52.81
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $33.88 / $120.97 / $351.01	Facility	TC	$33.88	$120.97	$351.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $43.85 / $83.18	Professional		$27.79	$43.85	$83.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.63 / $8.67 / $14.80	Professional	26	$7.63	$8.67	$14.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.37 / $31.08 / $57.10	Professional	TC	$25.37	$31.08	$57.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.22 / $134.30 / $220.41	Facility		$97.22	$134.30	$220.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $54.58 / $78.84	Professional		$40.11	$54.58	$78.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.09 / $11.41 / $15.89	Professional	26	$8.09	$11.41	$15.89
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $60.16 / $81.87 / $118.27	Professional	50	$60.16	$81.87	$118.27
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.02 / $42.21 / $62.94	Professional	TC	$32.02	$42.21	$62.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $53.60 / $91.06	Professional		$33.72	$53.60	$91.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $13.36 / $19.52	Professional	26	$8.32	$13.36	$19.52
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $53.88 / $53.88 / $53.88	Professional	50	$53.88	$53.88	$53.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.74 / $42.69 / $72.53	Professional	TC	$23.74	$42.69	$72.53
Community Health Options Facility/Professional Facility Modifier Low / Median / High Price $266.55 / $266.55 / $266.55	Facility		$266.55	$266.55	$266.55
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $29.00 / $38.00	Professional		$29.00	$29.00	$38.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $51.11 / $62.35 / $117.89	Professional		$51.11	$62.35	$117.89
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.31 / $12.40 / $22.38	Professional	26	$10.31	$12.40	$22.38
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $40.81 / $49.11 / $88.59	Professional	TC	$40.81	$49.11	$88.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $85.22 / $266.47 / $661.24	Facility		$85.22	$266.47	$661.24
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $9.59 / $10.11 / $54.27	Facility	26	$9.59	$10.11	$54.27
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $33.88 / $123.89 / $351.01	Facility	TC	$33.88	$123.89	$351.01
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.01 / $48.84 / $99.12	Professional		$33.01	$48.84	$99.12
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $9.97 / $20.39	Professional	26	$8.13	$9.97	$20.39
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $28.43 / $38.28 / $68.95	Professional	TC	$28.43	$38.28	$68.95
United Facility/Professional Professional Modifier Low / Median / High Price $39.34 / $52.54 / $91.30	Professional		$39.34	$52.54	$91.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $12.63 / $20.77	Professional	26	$9.02	$12.63	$20.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.32 / $35.34 / $70.53	Professional	TC	$30.32	$35.34	$70.53