Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.97 / $9.97 / $11.55	Facility	26	$9.97	$9.97	$11.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $37.53 / $67.84	Professional		$30.51	$37.53	$67.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.25 / $9.16 / $13.06	Professional	26	$8.25	$9.16	$13.06
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $39.24 / $39.24 / $59.06	Professional	50	$39.24	$39.24	$59.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $27.26 / $54.79	Professional	TC	$22.26	$27.26	$54.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.82 / $52.82 / $76.31	Professional		$38.82	$52.82	$76.31
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.09 / $11.41 / $15.26	Professional	26	$8.09	$11.41	$15.26
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $58.23 / $79.23 / $114.46	Professional	50	$58.23	$79.23	$114.46
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.73 / $41.02 / $61.04	Professional	TC	$30.73	$41.02	$61.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $53.15 / $90.31	Professional		$32.72	$53.15	$90.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $13.36 / $19.51	Professional	26	$8.32	$13.36	$19.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.06 / $41.29 / $71.77	Professional	TC	$22.06	$41.29	$71.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $49.46 / $58.03 / $114.08	Professional		$49.46	$58.03	$114.08
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.31 / $12.40 / $22.38	Professional	26	$10.31	$12.40	$22.38
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $39.15 / $47.12 / $85.01	Professional	TC	$39.15	$47.12	$85.01
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $9.97 / $10.07 / $11.55	Facility	26	$9.97	$10.07	$11.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $43.86 / $78.40	Professional		$30.51	$43.86	$78.40
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $8.25 / $9.97 / $18.32	Professional	26	$8.25	$9.97	$18.32
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $39.24 / $39.24 / $59.06	Professional	50	$39.24	$39.24	$59.06
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $23.23 / $33.88 / $60.41	Professional	TC	$23.23	$33.88	$60.41
United Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $50.27 / $91.30	Professional		$36.14	$50.27	$91.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.64 / $12.46 / $20.77	Professional	26	$8.64	$12.46	$20.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.50 / $37.84 / $70.53	Professional	TC	$27.50	$37.84	$70.53