Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $12.59 / $12.59	Facility	26	$10.72	$12.59	$12.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.02 / $107.15	Professional		$26.92	$38.02	$107.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.00 / $30.90	Professional	26	$7.94	$10.00	$30.90
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.20 / $33.88 / $53.70	Professional	52	$30.20	$33.88	$53.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $24.55 / $52.48	Professional	TC	$18.20	$24.55	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $37.15 / $54.95	Professional		$24.55	$37.15	$54.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $11.75 / $16.98	Professional	26	$7.41	$11.75	$16.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $25.70 / $38.02	Professional	TC	$16.98	$25.70	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $75.86	Professional		$33.88	$42.66	$75.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $14.13 / $22.39	Professional	26	$9.77	$14.13	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $30.20 / $53.70	Professional	TC	$19.05	$30.20	$53.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $45.71 / $87.10	Professional		$35.48	$45.71	$87.10
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $14.13 / $26.30	Professional	26	$11.22	$14.13	$26.30
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $31.62 / $60.26	Professional	TC	$25.70	$31.62	$60.26
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $12.59 / $12.59	Facility	26	$12.59	$12.59	$12.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $39.81 / $97.72	Professional		$28.18	$39.81	$97.72
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.30 / $30.20	Professional	26	$8.91	$12.30	$30.20
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $30.20 / $32.36 / $53.70	Professional	52	$30.20	$32.36	$53.70
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $28.18 / $57.54	Professional	TC	$19.05	$28.18	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $47.86 / $85.11	Professional		$30.90	$47.86	$85.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $14.45 / $23.99	Professional	26	$9.55	$14.45	$23.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $33.11 / $54.95	Professional	TC	$21.38	$33.11	$54.95