Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $208.93 / $363.08	Facility		$50.12	$208.93	$363.08
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $10.00 / $10.47	Facility	26	$9.55	$10.00	$10.47
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.84 / $95.50 / $302.00	Facility	TC	$28.84	$95.50	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $37.15 / $79.43	Professional		$20.89	$37.15	$79.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $9.55 / $25.12	Professional	26	$6.31	$9.55	$25.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.48 / $66.07 / $125.89	Professional	50	$35.48	$66.07	$125.89
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $24.55 / $31.62 / $47.86	Professional	52	$24.55	$31.62	$47.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $25.70 / $56.23	Professional	TC	$15.85	$25.70	$56.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $100.00 / $100.00	Facility		$81.28	$100.00	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $41.69 / $61.66	Professional		$27.54	$41.69	$61.66
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $10.00 / $14.79	Professional	26	$6.31	$10.00	$14.79
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $41.69 / $61.66 / $91.20	Professional	50	$41.69	$61.66	$91.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $30.90 / $44.67	Professional	TC	$21.38	$30.90	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $41.69 / $72.44	Professional		$26.30	$41.69	$72.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.96 / $19.05	Professional	26	$7.59	$10.96	$19.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $30.90 / $56.23	Professional	TC	$18.62	$30.90	$56.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $97.72	Professional		$38.90	$51.29	$97.72
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $12.30 / $22.91	Professional	26	$9.77	$12.30	$22.91
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $37.15 / $74.13	Professional	TC	$29.51	$37.15	$74.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $234.42 / $363.08	Facility		$50.12	$234.42	$363.08
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $10.00 / $10.47	Facility	26	$9.55	$10.00	$10.47
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $28.84 / $95.50 / $302.00	Facility	TC	$28.84	$95.50	$302.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.90 / $72.44	Professional		$22.91	$38.90	$72.44
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.96 / $23.99	Professional	26	$7.08	$10.96	$23.99
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $48.98 / $66.07 / $112.20	Professional	50	$48.98	$66.07	$112.20
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $17.78 / $26.30 / $47.86	Professional	52	$17.78	$26.30	$47.86
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $30.20 / $61.66	Professional	TC	$20.89	$30.20	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $42.66 / $81.28	Professional		$29.51	$42.66	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $12.02 / $21.38	Professional	26	$8.32	$12.02	$21.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $30.20 / $53.70	Professional	TC	$21.38	$30.20	$53.70