Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.75 / $633.02 / $682.16	Facility		$129.75	$633.02	$682.16
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.97 / $146.26 / $146.26	Facility	26	$35.97	$146.26	$146.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.23 / $127.33 / $201.38	Professional		$60.23	$127.33	$201.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.01 / $33.36 / $46.46	Professional	26	$29.01	$33.36	$46.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.01 / $54.42 / $170.38	Professional	TC	$29.01	$54.42	$170.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $593.46 / $819.74 / $1,345.37	Facility		$593.46	$819.74	$1,345.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.25 / $64.67 / $110.63	Professional		$57.25	$64.67	$110.63
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.06 / $36.54 / $56.59	Professional	26	$31.06	$36.54	$56.59
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.14 / $30.15 / $54.03	Professional	TC	$28.14	$30.15	$54.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $93.59 / $185.68	Professional		$71.23	$93.59	$185.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.18 / $46.82 / $66.64	Professional	26	$32.18	$46.82	$66.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.09 / $45.54 / $141.50	Professional	TC	$32.09	$45.54	$141.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $84.41 / $129.50	Professional		$72.95	$84.41	$129.50
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $37.10 / $44.45 / $65.84	Professional	26	$37.10	$44.45	$65.84
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $35.86 / $41.49 / $63.65	Professional	TC	$35.86	$41.49	$63.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $82.51 / $614.04 / $916.83	Facility		$82.51	$614.04	$916.83
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $41.61 / $55.69 / $154.50	Facility	26	$41.61	$55.69	$154.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $65.01 / $82.71 / $201.38	Professional		$65.01	$82.71	$201.38
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $30.60 / $35.97 / $56.27	Professional	26	$30.60	$35.97	$56.27
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $29.01 / $40.99 / $170.38	Professional	TC	$29.01	$40.99	$170.38
United Facility/Professional Professional Modifier Low / Median / High Price $55.02 / $84.11 / $135.32	Professional		$55.02	$84.11	$135.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.46 / $47.56 / $61.50	Professional	26	$31.46	$47.56	$61.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.56 / $36.54 / $58.16	Professional	TC	$23.56	$36.54	$58.16