Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.01 / $13.21 / $14.81	Facility	26	$13.01	$13.21	$14.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $41.33 / $70.16	Professional		$34.17	$41.33	$70.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.97 / $10.68 / $16.60	Professional	26	$8.97	$10.68	$16.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.75 / $28.46 / $51.07	Professional	TC	$24.75	$28.46	$51.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.18 / $52.38 / $75.66	Professional		$38.18	$52.38	$75.66
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $14.60 / $20.34	Professional	26	$10.35	$14.60	$20.34
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.82 / $37.13 / $55.31	Professional	TC	$27.82	$37.13	$55.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $53.83 / $87.32	Professional		$37.46	$53.83	$87.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $17.55 / $25.06	Professional	26	$10.23	$17.55	$25.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.03 / $40.29 / $63.52	Professional	TC	$27.03	$40.29	$63.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $48.64 / $58.53 / $105.59	Professional		$48.64	$58.53	$105.59
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $13.19 / $15.88 / $28.63	Professional	26	$13.19	$15.88	$28.63
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $35.45 / $42.66 / $76.95	Professional	TC	$35.45	$42.66	$76.95
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $13.01 / $13.21 / $14.81	Facility	26	$13.01	$13.21	$14.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $46.85 / $79.48	Professional		$34.17	$46.85	$79.48
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $13.21 / $23.68	Professional	26	$9.41	$13.21	$23.68
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $24.75 / $32.90 / $59.88	Professional	TC	$24.75	$32.90	$59.88
United Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $52.29 / $90.44	Professional		$38.97	$52.29	$90.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.91 / $15.57 / $28.63	Professional	26	$11.91	$15.57	$28.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.07 / $35.45 / $62.95	Professional	TC	$27.07	$35.45	$62.95