Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.57 / $9.57 / $12.00	Facility	26	$9.57	$9.57	$12.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $31.64 / $58.91	Professional		$21.57	$31.64	$58.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.37 / $8.42 / $13.32	Professional	26	$6.37	$8.42	$13.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.29 / $22.68 / $45.59	Professional	TC	$15.29	$22.68	$45.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $43.14 / $62.31	Professional		$32.02	$43.14	$62.31
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $11.88 / $15.89	Professional	26	$8.41	$11.88	$15.89
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $48.03 / $64.70 / $93.46	Professional	50	$48.03	$64.70	$93.46
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.61 / $31.51 / $46.41	Professional	TC	$23.61	$31.51	$46.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.08 / $42.56 / $72.31	Professional		$29.08	$42.56	$72.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $13.86 / $20.30	Professional	26	$8.32	$13.86	$20.30
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $43.42 / $43.42 / $43.42	Professional	50	$43.42	$43.42	$43.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.10 / $31.20 / $53.02	Professional	TC	$19.10	$31.20	$53.02
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $26.00 / $26.00	Professional		$26.00	$26.00	$26.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $40.81 / $47.88 / $88.59	Professional		$40.81	$47.88	$88.59
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $12.90 / $23.27	Professional	26	$10.72	$12.90	$23.27
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $30.09 / $36.04 / $69.40	Professional	TC	$30.09	$36.04	$69.40
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $9.57 / $10.52 / $12.00	Facility	26	$9.57	$10.52	$12.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.76 / $38.44 / $62.61	Professional		$28.76	$38.44	$62.61
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $9.64 / $19.16	Professional	26	$7.78	$9.64	$19.16
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $20.77 / $27.91 / $46.37	Professional	TC	$20.77	$27.91	$46.37
United Facility/Professional Professional Modifier Low / Median / High Price $28.94 / $37.68 / $77.69	Professional		$28.94	$37.68	$77.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.34 / $12.02 / $19.92	Professional	26	$8.34	$12.02	$19.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.60 / $27.29 / $52.83	Professional	TC	$20.60	$27.29	$52.83