Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.91 / $176.83 / $381.91	Facility		$115.91	$176.83	$381.91
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.30 / $16.30 / $16.30	Facility	26	$16.30	$16.30	$16.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.91 / $36.29 / $63.67	Professional		$30.91	$36.29	$63.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.00 / $14.83 / $24.02	Professional	26	$13.00	$14.83	$24.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $21.92 / $43.20	Professional	TC	$17.89	$21.92	$43.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.95 / $114.58 / $188.05	Facility		$82.95	$114.58	$188.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $44.53 / $73.12	Professional		$37.20	$44.53	$73.12
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.99 / $18.05 / $26.07	Professional	26	$13.99	$18.05	$26.07
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.26 / $29.31 / $46.20	Professional	TC	$24.26	$29.31	$46.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.21 / $55.47 / $87.34	Professional		$38.21	$55.47	$87.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.46 / $20.77 / $29.56	Professional	26	$16.46	$20.77	$29.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.66 / $34.01 / $57.78	Professional	TC	$21.66	$34.01	$57.78
Community Health Options Facility/Professional Facility Modifier Low / Median / High Price $313.35 / $313.35 / $313.35	Facility		$313.35	$313.35	$313.35
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $81.84 / $81.84	Professional		$81.84	$81.84	$81.84
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $47.87 / $84.13	Professional		$27.77	$47.87	$84.13
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $14.81 / $19.07 / $29.27	Professional	26	$14.81	$19.07	$29.27
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $30.72 / $35.77 / $54.88	Professional	TC	$30.72	$35.77	$54.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $92.96 / $148.68 / $320.70	Facility		$92.96	$148.68	$320.70
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.91 / $41.42 / $66.92	Professional		$30.91	$41.42	$66.92
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $13.00 / $16.30 / $24.67	Professional	26	$13.00	$16.30	$24.67
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $25.10 / $46.85	Professional	TC	$17.89	$25.10	$46.85
United Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $43.41 / $84.13	Professional		$34.61	$43.41	$84.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.26 / $20.32 / $27.22	Professional	26	$14.26	$20.32	$27.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.36 / $22.92 / $51.10	Professional	TC	$20.36	$22.92	$51.10