Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.21 / $9.57 / $11.17	Facility	26	$9.21	$9.57	$11.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $31.70 / $55.10	Professional		$25.87	$31.70	$55.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $7.98 / $13.33	Professional	26	$7.03	$7.98	$13.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $99.72 / $99.89 / $102.21	Professional	50	$99.72	$99.89	$102.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $23.06 / $42.63	Professional	TC	$18.82	$23.06	$42.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $43.14 / $62.31	Professional		$31.70	$43.14	$62.31
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $10.96 / $15.26	Professional	26	$7.76	$10.96	$15.26
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $47.55 / $64.70 / $93.46	Professional	50	$47.55	$64.70	$93.46
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.94 / $31.38 / $47.04	Professional	TC	$23.94	$31.38	$47.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.64 / $44.00 / $71.55	Professional		$29.64	$44.00	$71.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $12.82 / $18.72	Professional	26	$7.58	$12.82	$18.72
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $42.89 / $42.89 / $42.89	Professional	50	$42.89	$42.89	$42.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.18 / $31.64 / $53.77	Professional	TC	$21.18	$31.64	$53.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $49.29 / $93.18	Professional		$40.40	$49.29	$93.18
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.89 / $11.90 / $21.47	Professional	26	$9.89	$11.90	$21.47
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $30.50 / $36.54 / $70.34	Professional	TC	$30.50	$36.54	$70.34
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $9.21 / $9.57 / $11.17	Facility	26	$9.21	$9.57	$11.17
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $36.74 / $61.99	Professional		$25.87	$36.74	$61.99
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $9.57 / $17.62	Professional	26	$7.03	$9.57	$17.62
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $99.72 / $99.89 / $102.21	Professional	50	$99.72	$99.89	$102.21
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $25.78 / $47.01	Professional	TC	$18.82	$25.78	$47.01
United Facility/Professional Professional Modifier Low / Median / High Price $29.56 / $38.61 / $73.58	Professional		$29.56	$38.61	$73.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $11.98 / $19.91	Professional	26	$8.66	$11.98	$19.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.93 / $26.69 / $53.67	Professional	TC	$20.93	$26.69	$53.67