Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.64 / $18.10 / $18.28	Facility	26	$15.64	$18.10	$18.28
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $38.40 / $108.84 / $117.69	Facility	TC	$38.40	$108.84	$117.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.63 / $42.06 / $70.51	Professional		$31.63	$42.06	$70.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.86 / $14.15 / $20.35	Professional	26	$10.86	$14.15	$20.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.77 / $25.81 / $50.15	Professional	TC	$20.77	$25.81	$50.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $55.91 / $80.76	Professional		$40.76	$55.91	$80.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.62 / $17.35 / $24.79	Professional	26	$12.62	$17.35	$24.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.14 / $37.57 / $55.94	Professional	TC	$28.14	$37.57	$55.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $57.03 / $94.09	Professional		$44.10	$57.03	$94.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.11 / $20.94 / $29.81	Professional	26	$15.11	$20.94	$29.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.01 / $38.71 / $65.77	Professional	TC	$26.01	$38.71	$65.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $60.09 / $112.75	Professional		$34.90	$60.09	$112.75
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $16.07 / $18.60 / $28.54	Professional	26	$16.07	$18.60	$28.54
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $35.86 / $43.75 / $82.71	Professional	TC	$35.86	$43.75	$82.71
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $15.64 / $18.10 / $18.28	Facility	26	$15.64	$18.10	$18.28
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $38.40 / $108.84 / $117.69	Facility	TC	$38.40	$108.84	$117.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $35.39 / $46.68 / $79.77	Professional		$35.39	$46.68	$79.77
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $12.53 / $15.64 / $24.47	Professional	26	$12.53	$15.64	$24.47
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $22.85 / $31.05 / $55.30	Professional	TC	$22.85	$31.05	$55.30
United Facility/Professional Professional Modifier Low / Median / High Price $41.86 / $53.29 / $97.18	Professional		$41.86	$53.29	$97.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.60 / $20.07 / $32.54	Professional	26	$13.60	$20.07	$32.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.80 / $34.36 / $64.63	Professional	TC	$25.80	$34.36	$64.63