Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.75 / $8.75 / $320.92	Facility	26	$8.75	$8.75	$320.92
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $15.25 / $52.33 / $56.37	Facility	TC	$15.25	$52.33	$56.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.76 / $23.89 / $36.06	Professional		$20.76	$23.89	$36.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.12 / $7.30 / $11.39	Professional	26	$6.12	$7.30	$11.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.78 / $16.59 / $24.66	Professional	TC	$14.78	$16.59	$24.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.03 / $29.23 / $41.33	Professional		$21.03	$29.23	$41.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.12 / $10.03 / $13.98	Professional	26	$7.12	$10.03	$13.98
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $31.54 / $43.85 / $62.00	Professional	50	$31.54	$43.85	$62.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.91 / $19.18 / $27.33	Professional	TC	$13.91	$19.18	$27.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $33.56 / $50.05	Professional		$24.09	$33.56	$50.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.19 / $12.08 / $17.14	Professional	26	$7.19	$12.08	$17.14
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.06 / $35.06 / $35.06	Professional	50	$35.06	$35.06	$35.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.00 / $22.45 / $32.90	Professional	TC	$16.00	$22.45	$32.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $31.00 / $58.16	Professional		$26.79	$31.00	$58.16
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.07 / $10.91 / $19.69	Professional	26	$9.07	$10.91	$19.69
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $17.72 / $20.79 / $40.86	Professional	TC	$17.72	$20.79	$40.86
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $320.92 / $320.92 / $320.92	Facility	26	$320.92	$320.92	$320.92
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $52.33 / $53.59 / $57.93	Facility	TC	$52.33	$53.59	$57.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $25.21 / $40.93	Professional		$21.21	$25.21	$40.93
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $6.42 / $8.75 / $13.70	Professional	26	$6.42	$8.75	$13.70
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $14.78 / $17.23 / $27.22	Professional	TC	$14.78	$17.23	$27.22
United Facility/Professional Professional Modifier Low / Median / High Price $21.65 / $30.86 / $49.99	Professional		$21.65	$30.86	$49.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.98 / $19.48	Professional	26	$7.94	$10.98	$19.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.71 / $19.88 / $31.76	Professional	TC	$13.71	$19.88	$31.76