Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $245.47 / $446.68	Facility		$100.00	$245.47	$446.68
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $10.96 / $12.02	Facility	26	$10.47	$10.96	$12.02
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $32.36 / $102.33 / $234.42	Facility	TC	$32.36	$102.33	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $39.81 / $81.28	Professional		$16.22	$39.81	$81.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.00 / $32.36	Professional	26	$7.08	$10.00	$32.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $38.90 / $38.90 / $134.90	Professional	50	$38.90	$38.90	$134.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $28.18 / $57.54	Professional	TC	$19.05	$28.18	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $45.71 / $67.61	Professional		$32.36	$45.71	$67.61
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $11.22 / $16.60	Professional	26	$7.59	$11.22	$16.60
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $47.86 / $66.07 / $100.00	Professional	50	$47.86	$66.07	$100.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $33.11 / $48.98	Professional	TC	$24.55	$33.11	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $45.71 / $81.28	Professional		$33.11	$45.71	$81.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $12.30 / $21.88	Professional	26	$9.77	$12.30	$21.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $33.88 / $61.66	Professional	TC	$23.44	$33.88	$61.66
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $54.95 / $102.33	Professional		$43.65	$54.95	$102.33
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $13.18 / $25.12	Professional	26	$10.47	$13.18	$25.12
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $40.74 / $81.28	Professional	TC	$32.36	$40.74	$81.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $257.04 / $426.58	Facility		$100.00	$257.04	$426.58
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $10.96 / $12.02	Facility	26	$10.47	$10.96	$12.02
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $32.36 / $104.71 / $281.84	Facility	TC	$32.36	$104.71	$281.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $41.69 / $83.18	Professional		$21.38	$41.69	$83.18
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $11.22 / $22.91	Professional	26	$7.94	$11.22	$22.91
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $33.11 / $64.57	Professional	TC	$21.88	$33.11	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $45.71 / $89.13	Professional		$32.36	$45.71	$89.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $13.18 / $23.99	Professional	26	$9.12	$13.18	$23.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $33.88 / $63.10	Professional	TC	$23.44	$33.88	$63.10