Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $635.39 / $635.39 / $665.57	Facility		$635.39	$635.39	$665.57
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.46 / $18.46 / $18.46	Facility	26	$18.46	$18.46	$18.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.89 / $98.50 / $173.18	Professional		$64.89	$98.50	$173.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.48 / $15.90 / $23.96	Professional	26	$12.48	$15.90	$23.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.84 / $82.69 / $149.21	Professional	TC	$52.84	$82.69	$149.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.86 / $399.00 / $654.84	Facility		$288.86	$399.00	$654.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.33 / $135.65 / $198.39	Professional		$98.33	$135.65	$198.39
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.88 / $20.54 / $29.24	Professional	26	$14.88	$20.54	$29.24
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.45 / $111.40 / $169.12	Professional	TC	$83.45	$111.40	$169.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.90 / $140.18 / $238.17	Professional		$90.90	$140.18	$238.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.26 / $24.78 / $35.35	Professional	26	$16.26	$24.78	$35.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.77 / $120.41 / $204.59	Professional	TC	$71.77	$120.41	$204.59
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $125.31 / $150.79 / $272.02	Professional		$125.31	$150.79	$272.02
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $18.96 / $22.82 / $41.16	Professional	26	$18.96	$22.82	$41.16
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $106.35 / $127.98 / $230.86	Professional	TC	$106.35	$127.98	$230.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $635.39 / $635.39 / $665.57	Facility		$635.39	$635.39	$665.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $110.67 / $193.34	Professional		$81.59	$110.67	$193.34
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $14.19 / $18.46 / $34.13	Professional	26	$14.19	$18.46	$34.13
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $67.40 / $92.20 / $164.46	Professional	TC	$67.40	$92.20	$164.46
United Facility/Professional Professional Modifier Low / Median / High Price $98.72 / $118.67 / $246.04	Professional		$98.72	$118.67	$246.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $23.52 / $38.45	Professional	26	$16.60	$23.52	$38.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.79 / $86.91 / $191.93	Professional	TC	$74.79	$86.91	$191.93