Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $12.88 / $15.49	Facility	26	$12.88	$12.88	$15.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $46.77 / $102.33	Professional		$33.11	$46.77	$102.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.02 / $31.62	Professional	26	$8.91	$12.02	$31.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $33.11 / $69.18	Professional	TC	$21.88	$33.11	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $52.48 / $75.86	Professional		$36.31	$52.48	$75.86
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $13.80 / $20.42	Professional	26	$10.23	$13.80	$20.42
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $38.90 / $56.23	Professional	TC	$26.92	$38.90	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $58.88 / $95.50	Professional		$43.65	$58.88	$95.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $15.49 / $26.92	Professional	26	$10.23	$15.49	$26.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $43.65 / $72.44	Professional	TC	$29.51	$43.65	$72.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $63.10 / $120.23	Professional		$48.98	$63.10	$120.23
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $16.22 / $30.90	Professional	26	$12.88	$16.22	$30.90
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $47.86 / $89.13	Professional	TC	$38.02	$47.86	$89.13
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $12.88 / $15.49	Facility	26	$12.88	$12.88	$15.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $112.20	Professional		$39.81	$54.95	$112.20
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $14.79 / $29.51	Professional	26	$10.00	$14.79	$29.51
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $41.69 / $83.18	Professional	TC	$28.84	$41.69	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.23 / $109.65	Professional		$39.81	$56.23	$109.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $16.22 / $28.18	Professional	26	$11.22	$16.22	$28.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $39.81 / $70.79	Professional	TC	$28.18	$39.81	$70.79