Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $243.67 / $451.30	Facility		$85.00	$243.67	$451.30
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.81 / $9.57 / $10.59	Facility	26	$8.81	$9.57	$10.59
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.19 / $89.10 / $240.65	Facility	TC	$26.19	$89.10	$240.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $32.74 / $53.93	Professional		$24.35	$32.74	$53.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $7.98 / $11.89	Professional	26	$7.03	$7.98	$11.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $48.70 / $48.70 / $65.48	Professional	50	$48.70	$48.70	$65.48
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.64 / $14.38 / $17.88	Professional	52	$11.64	$14.38	$17.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.53 / $22.68 / $42.04	Professional	TC	$18.53	$22.68	$42.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.92 / $100.72 / $165.31	Facility		$72.92	$100.72	$165.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $43.10 / $61.68	Professional		$31.13	$43.10	$61.68
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.44 / $10.50 / $14.63	Professional	26	$7.44	$10.50	$14.63
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $46.70 / $64.66 / $92.52	Professional	50	$46.70	$64.66	$92.52
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.71 / $31.51 / $47.04	Professional	TC	$23.71	$31.51	$47.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $43.36 / $71.55	Professional		$31.29	$43.36	$71.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $12.82 / $17.93	Professional	26	$7.58	$12.82	$17.93
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $45.51 / $45.51 / $45.51	Professional	50	$45.51	$45.51	$45.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.47 / $32.09 / $54.52	Professional	TC	$21.47	$32.09	$54.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $39.57 / $47.62 / $85.90	Professional		$39.57	$47.62	$85.90
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.48 / $11.12 / $21.87	Professional	26	$9.48	$11.12	$21.87
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $30.09 / $36.71 / $69.40	Professional	TC	$30.09	$36.71	$69.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $44.89 / $223.26 / $361.71	Facility		$44.89	$223.26	$361.71
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $8.81 / $9.57 / $10.59	Facility	26	$8.81	$9.57	$10.59
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $26.19 / $91.25 / $303.02	Facility	TC	$26.19	$91.25	$303.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $35.96 / $65.95	Professional		$25.55	$35.96	$65.95
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.48 / $9.57 / $16.93	Professional	26	$7.48	$9.57	$16.93
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $48.70 / $48.70 / $65.48	Professional	50	$48.70	$48.70	$65.48
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $11.64 / $17.88 / $26.48	Professional	52	$11.64	$17.88	$26.48
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $20.77 / $26.19 / $46.41	Professional	TC	$20.77	$26.19	$46.41
United Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $40.43 / $74.45	Professional		$29.57	$40.43	$74.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $11.98 / $20.58	Professional	26	$8.31	$11.98	$20.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.46 / $31.74 / $58.24	Professional	TC	$23.46	$31.74	$58.24