Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.89 / $394.55 / $431.88	Facility		$49.89	$394.55	$431.88
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.80 / $12.80 / $14.81	Facility	26	$12.80	$12.80	$14.81
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $32.25 / $115.09 / $713.70	Facility	TC	$32.25	$115.09	$713.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.95 / $42.13 / $69.70	Professional		$35.95	$42.13	$69.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.36 / $11.61 / $16.66	Professional	26	$10.36	$11.61	$16.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $38.29 / $38.29 / $38.29	Professional	50	$38.29	$38.29	$38.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.57 / $30.22 / $53.05	Professional	TC	$25.57	$30.22	$53.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $53.06 / $78.84	Professional		$40.11	$53.06	$78.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $14.39 / $20.34	Professional	26	$10.35	$14.39	$20.34
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $60.16 / $79.59 / $118.27	Professional	50	$60.16	$79.59	$118.27
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.76 / $37.82 / $58.49	Professional	TC	$29.76	$37.82	$58.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $54.84 / $91.82	Professional		$42.66	$54.84	$91.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.46 / $16.91 / $25.06	Professional	26	$12.46	$16.91	$25.06
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $56.50 / $56.50 / $56.50	Professional	50	$56.50	$56.50	$56.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.71 / $40.04 / $68.02	Professional	TC	$27.71	$40.04	$68.02
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 $13.19 / $15.88 / $28.63	Professional	26	$13.19	$15.88	$28.63
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $37.92 / $45.63 / $82.32	Professional	TC	$37.92	$45.63	$82.32
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $49.89 / $374.89 / $596.42	Facility		$49.89	$374.89	$596.42
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $12.80 / $12.97 / $14.81	Facility	26	$12.80	$12.97	$14.81
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $35.20 / $115.09 / $990.86	Facility	TC	$35.20	$115.09	$990.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $35.95 / $45.07 / $78.54	Professional		$35.95	$45.07	$78.54
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $10.36 / $12.80 / $20.02	Professional	26	$10.36	$12.80	$20.02
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $38.29 / $38.29 / $38.29	Professional	50	$38.29	$38.29	$38.29
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $25.57 / $32.26 / $58.50	Professional	TC	$25.57	$32.26	$58.50
United Facility/Professional Professional Modifier Low / Median / High Price $37.32 / $53.55 / $93.82	Professional		$37.32	$53.55	$93.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.55 / $16.52 / $26.65	Professional	26	$11.55	$16.52	$26.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.19 / $38.31 / $67.30	Professional	TC	$26.19	$38.31	$67.30