Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $194.98 / $239.88	Facility		$72.44	$194.98	$239.88
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $70.79 / $81.28	Facility	26	$61.66	$70.79	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $89.13 / $177.83	Professional		$42.66	$89.13	$177.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $45.71 / $102.33	Professional	26	$28.18	$45.71	$102.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $104.71 / $165.96 / $177.83	Professional	50	$104.71	$165.96	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $28.84 / $50.12	Professional	TC	$15.14	$28.84	$50.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $229.09 / $229.09	Facility		$186.21	$229.09	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $67.61 / $109.65	Professional		$48.98	$67.61	$109.65
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $42.66 / $69.18	Professional	26	$30.20	$42.66	$69.18
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $102.33 / $165.96	Professional	50	$72.44	$102.33	$165.96
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $25.12 / $41.69	Professional	TC	$18.20	$25.12	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $97.72 / $158.49	Professional		$60.26	$97.72	$158.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $56.23 / $83.18	Professional	26	$37.15	$56.23	$83.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $40.74 / $87.10	Professional	TC	$16.98	$40.74	$87.10
Community Health Options Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $72.44 / $138.04	Professional		$38.02	$72.44	$138.04
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $57.54 / $87.10	Professional	26	$36.31	$57.54	$87.10
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $28.84 / $52.48	Professional	TC	$22.39	$28.84	$52.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $208.93 / $239.88	Facility		$75.86	$208.93	$239.88
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $70.79 / $81.28	Facility	26	$61.66	$70.79	$81.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $85.11 / $181.97	Professional		$46.77	$85.11	$181.97
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $47.86 / $104.71	Professional	26	$30.20	$47.86	$104.71
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $104.71 / $208.93 / $363.08	Professional	50	$104.71	$208.93	$363.08
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $30.90 / $79.43	Professional	TC	$16.98	$30.90	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $93.33 / $151.36	Professional		$50.12	$93.33	$151.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $54.95 / $87.10	Professional	26	$30.90	$54.95	$87.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $35.48 / $64.57	Professional	TC	$19.50	$35.48	$64.57