Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.61 / $251.79 / $576.40	Facility		$81.61	$251.79	$576.40
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.42 / $8.75 / $10.11	Facility	26	$8.42	$8.75	$10.11
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.53 / $76.86 / $223.26	Facility	TC	$22.53	$76.86	$223.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $29.64 / $50.38	Professional		$24.62	$29.64	$50.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.71 / $7.64 / $12.00	Professional	26	$6.71	$7.64	$12.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $76.58 / $76.58 / $94.79	Professional	50	$76.58	$76.58	$94.79
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.10 / $13.86 / $15.65	Professional	52	$10.10	$13.86	$15.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $21.92 / $36.25	Professional	TC	$17.89	$21.92	$36.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.06 / $96.78 / $158.83	Facility		$70.06	$96.78	$158.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $37.86 / $54.68	Professional		$27.61	$37.86	$54.68
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.12 / $10.03 / $13.98	Professional	26	$7.12	$10.03	$13.98
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $41.42 / $56.79 / $82.03	Professional	50	$41.42	$56.79	$82.03
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.52 / $27.20 / $40.68	Professional	TC	$20.52	$27.20	$40.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $38.74 / $62.55	Professional		$27.30	$38.74	$62.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $11.73 / $17.14	Professional	26	$7.58	$11.73	$17.14
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $39.76 / $39.76 / $39.76	Professional	50	$39.76	$39.76	$39.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.22 / $29.00 / $46.26	Professional	TC	$18.22	$29.00	$46.26
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $42.17 / $76.06	Professional		$35.04	$42.17	$76.06
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.07 / $10.91 / $19.69	Professional	26	$9.07	$10.91	$19.69
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $30.05 / $40.40 / $59.90	Professional	TC	$30.05	$40.40	$59.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $39.70 / $246.45 / $576.40	Facility		$39.70	$246.45	$576.40
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $8.42 / $8.75 / $320.92	Facility	26	$8.42	$8.75	$320.92
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $22.53 / $78.70 / $223.26	Facility	TC	$22.53	$78.70	$223.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $27.35 / $31.71 / $54.84	Professional		$27.35	$31.71	$54.84
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.12 / $8.75 / $16.23	Professional	26	$7.12	$8.75	$16.23
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $76.58 / $76.58 / $94.79	Professional	50	$76.58	$76.58	$94.79
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $10.10 / $15.65 / $23.48	Professional	52	$10.10	$15.65	$23.48
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $20.07 / $22.54 / $39.99	Professional	TC	$20.07	$22.54	$39.99
United Facility/Professional Professional Modifier Low / Median / High Price $28.15 / $36.59 / $65.17	Professional		$28.15	$36.59	$65.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $11.02 / $18.23	Professional	26	$7.94	$11.02	$18.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.21 / $26.67 / $48.57	Professional	TC	$20.21	$26.67	$48.57