Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.23 / $15.23 / $17.16	Facility	26	$15.23	$15.23	$17.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $41.11 / $72.31	Professional		$35.09	$41.11	$72.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.82 / $13.45 / $19.27	Professional	26	$11.82	$13.45	$19.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.26 / $27.51 / $53.05	Professional	TC	$23.26	$27.51	$53.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.73 / $56.02 / $81.39	Professional		$41.73	$56.02	$81.39
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.97 / $16.89 / $23.53	Professional	26	$11.97	$16.89	$23.53
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.76 / $37.40 / $57.85	Professional	TC	$29.76	$37.40	$57.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.99 / $56.35 / $94.83	Professional		$44.99	$56.35	$94.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.38 / $19.97 / $29.02	Professional	26	$14.38	$19.97	$29.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.10 / $39.59 / $67.27	Professional	TC	$27.10	$39.59	$67.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $53.17 / $63.99 / $115.42	Professional		$53.17	$63.99	$115.42
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $15.25 / $18.36 / $33.10	Professional	26	$15.25	$18.36	$33.10
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $37.92 / $45.43 / $87.46	Professional	TC	$37.92	$45.43	$87.46
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $17.16 / $17.16 / $17.16	Facility	26	$17.16	$17.16	$17.16
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $47.09 / $85.85	Professional		$35.09	$47.09	$85.85
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $11.82 / $15.23 / $27.37	Professional	26	$11.82	$15.23	$27.37
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $23.26 / $32.11 / $58.50	Professional	TC	$23.26	$32.11	$58.50
United Facility/Professional Professional Modifier Low / Median / High Price $42.22 / $58.06 / $104.68	Professional		$42.22	$58.06	$104.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.71 / $19.20 / $31.71	Professional	26	$13.71	$19.20	$31.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.86 / $34.21 / $66.31	Professional	TC	$25.86	$34.21	$66.31