Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.67 / $50.67 / $51.35	Facility		$50.67	$50.67	$51.35
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.32 / $24.32 / $28.41	Facility	26	$24.32	$24.32	$28.41
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.96 / $22.96 / $26.35	Facility	TC	$22.96	$22.96	$26.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.27 / $70.14 / $82.77	Professional		$42.27	$70.14	$82.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.01 / $24.32 / $32.14	Professional	26	$22.01	$24.32	$32.14
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $20.68 / $34.75 / $38.29	Professional	52	$20.68	$34.75	$38.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.18 / $52.99 / $58.55	Professional	TC	$25.18	$52.99	$58.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.43 / $45.26 / $70.58	Professional		$38.43	$45.26	$70.58
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.73 / $25.33 / $38.79	Professional	26	$19.73	$25.33	$38.79
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $57.64 / $67.89 / $105.87	Professional	50	$57.64	$67.89	$105.87
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.04 / $20.23 / $31.78	Professional	TC	$16.04	$20.23	$31.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.10 / $72.06 / $125.92	Professional		$48.10	$72.06	$125.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.44 / $32.77 / $58.64	Professional	26	$22.44	$32.77	$58.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.49 / $35.76 / $67.77	Professional	TC	$21.49	$35.76	$67.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $23.37 / $45.34 / $98.42	Professional		$23.37	$45.34	$98.42
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $25.14 / $29.49 / $57.99	Professional	26	$25.14	$29.49	$57.99
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $20.20 / $24.64 / $46.59	Professional	TC	$20.20	$24.64	$46.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $51.35 / $51.35 / $51.35	Facility		$51.35	$51.35	$51.35
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $28.41 / $28.41 / $28.41	Facility	26	$28.41	$28.41	$28.41
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $22.96 / $22.96 / $22.96	Facility	TC	$22.96	$22.96	$22.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $62.60 / $92.18	Professional		$42.38	$62.60	$92.18
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $22.01 / $24.32 / $38.40	Professional	26	$22.01	$24.32	$38.40
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $15.42 / $25.34 / $38.29	Professional	52	$15.42	$25.34	$38.29
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $19.82 / $28.14 / $63.99	Professional	TC	$19.82	$28.14	$63.99
United Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $96.66 / $129.61	Professional		$45.83	$96.66	$129.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.01 / $34.14 / $44.14	Professional	26	$22.01	$34.14	$44.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $50.27 / $80.83	Professional	TC	$23.82	$50.27	$80.83