Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $588.84 / $1,000.00	Facility		$107.15	$588.84	$1,000.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $147.91 / $154.88	Facility	26	$41.69	$147.91	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $114.82 / $346.74	Professional		$50.12	$114.82	$346.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $36.31 / $79.43	Professional	26	$25.70	$36.31	$79.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $37.15 / $173.78	Professional	TC	$21.88	$37.15	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $812.83 / $812.83	Facility		$660.69	$812.83	$812.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $69.18 / $112.20	Professional		$50.12	$69.18	$112.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $36.31 / $58.88	Professional	26	$28.18	$36.31	$58.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $34.67 / $53.70	Professional	TC	$26.92	$34.67	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $114.82 / $251.19	Professional		$69.18	$114.82	$251.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $45.71 / $67.61	Professional	26	$30.90	$45.71	$67.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $52.48 / $199.53	Professional	TC	$25.12	$52.48	$199.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $102.33 / $181.97	Professional		$57.54	$102.33	$181.97
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $51.29 / $89.13	Professional	26	$38.02	$51.29	$89.13
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $52.48 / $93.33	Professional	TC	$38.90	$52.48	$93.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $616.60 / $1,000.00	Facility		$107.15	$616.60	$1,000.00
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $56.23 / $154.88	Facility	26	$41.69	$56.23	$154.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $91.20 / $288.40	Professional		$54.95	$91.20	$288.40
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $41.69 / $77.62	Professional	26	$28.84	$41.69	$77.62
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $41.69 / $173.78	Professional	TC	$25.12	$41.69	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $93.33 / $181.97	Professional		$54.95	$93.33	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $47.86 / $83.18	Professional	26	$31.62	$47.86	$83.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $43.65 / $100.00	Professional	TC	$24.55	$43.65	$100.00