Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $97.72 / $97.72	Facility		$83.18	$97.72	$97.72
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $112.20	Professional		$52.48	$70.79	$112.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $26.92 / $43.65	Professional	26	$20.89	$26.92	$43.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $38.02 / $79.43	Professional	TC	$28.18	$38.02	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $85.11 / $117.49	Professional		$66.07	$85.11	$117.49
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $34.67 / $50.12	Professional	26	$26.92	$34.67	$50.12
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $100.00 / $128.82 / $177.83	Professional	50	$100.00	$128.82	$177.83
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $48.98 / $69.18	Professional	TC	$37.15	$48.98	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $87.10 / $144.54	Professional		$60.26	$87.10	$144.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $37.15 / $60.26	Professional	26	$23.44	$37.15	$60.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $50.12 / $83.18	Professional	TC	$38.02	$50.12	$83.18
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $74.13 / $128.82	Professional		$54.95	$74.13	$128.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $77.62 / $123.03	Professional		$51.29	$77.62	$123.03
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $32.36 / $53.70	Professional	26	$22.91	$32.36	$53.70
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $46.77 / $81.28	Professional	TC	$30.90	$46.77	$81.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $97.72	Facility		$83.18	$83.18	$97.72
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $70.79 / $144.54	Professional		$57.54	$70.79	$144.54
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $30.90 / $52.48	Professional	26	$23.99	$30.90	$52.48
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $39.81 / $81.28	Professional	TC	$33.11	$39.81	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $120.23	Professional		$54.95	$79.43	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $32.36 / $51.29	Professional	26	$23.99	$32.36	$51.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $46.77 / $70.79	Professional	TC	$30.90	$46.77	$70.79