Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.46 / $309.85 / $349.74	Facility		$51.46	$309.85	$349.74
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.32 / $12.80 / $14.81	Facility	26	$12.32	$12.80	$14.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $34.67 / $61.61	Professional		$25.34	$34.67	$61.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $10.82 / $17.46	Professional	26	$9.41	$10.82	$17.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.76 / $24.21 / $44.93	Professional	TC	$19.76	$24.21	$44.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.38 / $116.55 / $191.28	Facility		$84.38	$116.55	$191.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $48.42 / $69.95	Professional		$35.58	$48.42	$69.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $14.60 / $19.71	Professional	26	$10.35	$14.60	$19.71
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.23 / $33.67 / $50.23	Professional	TC	$25.23	$33.67	$50.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $50.13 / $82.07	Professional		$34.90	$50.13	$82.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $17.14 / $25.06	Professional	26	$10.23	$17.14	$25.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.94 / $34.29 / $58.27	Professional	TC	$22.94	$34.29	$58.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $45.34 / $53.19 / $98.42	Professional		$45.34	$53.19	$98.42
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $13.19 / $15.47 / $28.63	Professional	26	$13.19	$15.47	$28.63
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $32.15 / $39.22 / $74.15	Professional	TC	$32.15	$39.22	$74.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $42.82 / $246.57 / $370.09	Facility		$42.82	$246.57	$370.09
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $12.32 / $12.80 / $14.81	Facility	26	$12.32	$12.80	$14.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $29.19 / $40.54 / $72.59	Professional		$29.19	$40.54	$72.59
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $9.98 / $12.80 / $23.61	Professional	26	$9.98	$12.80	$23.61
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $22.16 / $29.83 / $49.56	Professional	TC	$22.16	$29.83	$49.56
United Facility/Professional Professional Modifier Low / Median / High Price $36.09 / $49.10 / $74.93	Professional		$36.09	$49.10	$74.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.55 / $16.04 / $26.65	Professional	26	$11.55	$16.04	$26.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.25 / $30.23 / $60.93	Professional	TC	$22.25	$30.23	$60.93