Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.48 / $13.48 / $115.27	Facility		$13.48	$13.48	$115.27
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.50 / $118.50 / $118.50	Facility	26	$118.50	$118.50	$118.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $13.26 / $18.17	Professional		$11.81	$13.26	$18.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.85 / $9.10 / $12.04	Professional	26	$7.85	$9.10	$12.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $12.27 / $12.27 / $12.27	Professional	50	$12.27	$12.27	$12.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.89 / $4.44 / $6.13	Professional	TC	$3.89	$4.44	$6.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $19.77 / $32.45	Facility		$14.31	$19.77	$32.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $15.53 / $21.62	Professional		$12.00	$15.53	$21.62
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $10.50 / $14.63	Professional	26	$8.11	$10.50	$14.63
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $18.00 / $23.29 / $32.43	Professional	50	$18.00	$23.29	$32.43
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.88 / $5.01 / $6.99	Professional	TC	$3.88	$5.01	$6.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $17.98 / $25.02	Professional		$13.61	$17.98	$25.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.68 / $12.28 / $17.03	Professional	26	$8.68	$12.28	$17.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.21 / $5.50 / $7.99	Professional	TC	$3.21	$5.50	$7.99
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $16.21 / $24.87	Professional		$9.42	$16.21	$24.87
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.48 / $11.64 / $18.59	Professional	26	$9.48	$11.64	$18.59
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $4.53 / $5.24 / $8.03	Professional	TC	$4.53	$5.24	$8.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $115.27 / $115.27 / $115.27	Facility		$115.27	$115.27	$115.27
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $118.50 / $118.50 / $118.50	Facility	26	$118.50	$118.50	$118.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $13.48 / $18.17	Professional		$11.82	$13.48	$18.17
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $8.02 / $9.16 / $12.42	Professional	26	$8.02	$9.16	$12.42
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $12.27 / $12.27 / $12.27	Professional	50	$12.27	$12.27	$12.27
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $3.89 / $4.32 / $6.50	Professional	TC	$3.89	$4.32	$6.50
United Facility/Professional Professional Modifier Low / Median / High Price $11.44 / $20.92 / $28.07	Professional		$11.44	$20.92	$28.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.92 / $13.92 / $19.07	Professional	26	$7.92	$13.92	$19.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.52 / $7.05 / $8.56	Professional	TC	$3.52	$7.05	$8.56