Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.96 / $97.81 / $97.81	Facility		$82.96	$97.81	$97.81
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.83 / $100.83 / $100.83	Facility	26	$100.83	$100.83	$100.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.65 / $71.14 / $119.80	Professional		$47.65	$71.14	$119.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.06 / $31.13 / $49.82	Professional	26	$21.06	$31.13	$49.82
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $23.83 / $32.52 / $40.25	Professional	52	$23.83	$32.52	$40.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.58 / $40.00 / $69.98	Professional	TC	$26.58	$40.00	$69.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.04 / $76.42 / $96.01	Professional		$66.04	$76.42	$96.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.60 / $32.39 / $40.57	Professional	26	$27.60	$32.39	$40.57
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.43 / $44.02 / $55.88	Professional	TC	$38.43	$44.02	$55.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $101.09 / $176.59	Professional		$64.98	$101.09	$176.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.70 / $36.79 / $74.81	Professional	26	$24.70	$36.79	$74.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.29 / $57.67 / $101.77	Professional	TC	$38.29	$57.67	$101.77
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $55.02 / $73.36 / $128.09	Professional		$55.02	$73.36	$128.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $58.43 / $77.91 / $103.71	Professional		$58.43	$77.91	$103.71
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $24.75 / $32.56 / $43.34	Professional	26	$24.75	$32.56	$43.34
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $34.46 / $45.34 / $60.36	Professional	TC	$34.46	$45.34	$60.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $82.96 / $82.96 / $97.81	Facility		$82.96	$82.96	$97.81
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $100.83 / $100.83 / $100.83	Facility	26	$100.83	$100.83	$100.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $71.14 / $119.80	Professional		$68.45	$71.14	$119.80
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $29.57 / $31.12 / $49.82	Professional	26	$29.57	$31.12	$49.82
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $23.83 / $35.57 / $40.25	Professional	52	$23.83	$35.57	$40.25
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $38.86 / $40.00 / $69.98	Professional	TC	$38.86	$40.00	$69.98
United Facility/Professional Professional Modifier Low / Median / High Price $51.65 / $70.50 / $116.61	Professional		$51.65	$70.50	$116.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.24 / $31.44 / $47.85	Professional	26	$23.24	$31.44	$47.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.41 / $43.45 / $64.23	Professional	TC	$28.41	$43.45	$64.23