Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.20 / $279.94 / $357.75	Facility		$80.20	$279.94	$357.75
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.38 / $10.38 / $12.00	Facility	26	$10.38	$10.38	$12.00
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.53 / $78.09 / $285.48	Facility	TC	$22.53	$78.09	$285.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.69 / $29.58 / $50.32	Professional		$24.69	$29.58	$50.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.08 / $9.30 / $14.91	Professional	26	$8.08	$9.30	$14.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $20.04 / $36.82	Professional	TC	$16.60	$20.04	$36.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.80 / $100.56 / $165.04	Facility		$72.80	$100.56	$165.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $40.06 / $57.85	Professional		$29.21	$40.06	$57.85
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $11.88 / $16.52	Professional	26	$8.41	$11.88	$16.52
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.70 / $27.63 / $41.33	Professional	TC	$20.70	$27.63	$41.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.57 / $39.82 / $67.05	Professional		$31.57	$39.82	$67.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.84 / $13.72 / $20.30	Professional	26	$9.84	$13.72	$20.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.48 / $28.11 / $47.76	Professional	TC	$19.48	$28.11	$47.76
Community Health Options Facility/Professional Facility Modifier Low / Median / High Price $261.00 / $261.00 / $261.00	Facility		$261.00	$261.00	$261.00
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $38.00 / $38.00	Professional		$38.00	$38.00	$38.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $37.10 / $44.64 / $80.54	Professional		$37.10	$44.64	$80.54
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $13.08 / $24.73	Professional	26	$10.72	$13.08	$24.73
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $26.64 / $41.05 / $60.85	Professional	TC	$26.64	$41.05	$60.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $79.20 / $246.45 / $359.48	Facility		$79.20	$246.45	$359.48
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $9.99 / $10.38 / $12.14	Facility	26	$9.99	$10.38	$12.14
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $22.53 / $79.98 / $285.48	Facility	TC	$22.53	$79.98	$285.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $24.76 / $34.99 / $56.86	Professional		$24.76	$34.99	$56.86
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $8.19 / $10.38 / $16.23	Professional	26	$8.19	$10.38	$16.23
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $23.28 / $40.63	Professional	TC	$17.57	$23.28	$40.63
United Facility/Professional Professional Modifier Low / Median / High Price $29.59 / $38.61 / $68.53	Professional		$29.59	$38.61	$68.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $13.02 / $23.27	Professional	26	$9.02	$13.02	$23.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.87 / $25.67 / $50.10	Professional	TC	$18.87	$25.67	$50.10