Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.16 / $9.16 / $320.92	Facility	26	$9.16	$9.16	$320.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $30.11 / $51.09	Professional		$25.25	$30.11	$51.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $7.83 / $11.89	Professional	26	$7.03	$7.83	$11.89
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.52 / $14.20 / $15.86	Professional	52	$10.52	$14.20	$15.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.21 / $22.17 / $35.67	Professional	TC	$18.21	$22.17	$35.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $37.86 / $54.68	Professional		$27.61	$37.86	$54.68
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.44 / $10.50 / $14.63	Professional	26	$7.44	$10.50	$14.63
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $41.42 / $56.79 / $82.03	Professional	50	$41.42	$56.79	$82.03
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.19 / $26.77 / $40.04	Professional	TC	$20.19	$26.77	$40.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $39.76 / $64.05	Professional		$27.30	$39.76	$64.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $12.27 / $17.93	Professional	26	$7.58	$12.27	$17.93
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $39.76 / $39.76 / $39.76	Professional	50	$39.76	$39.76	$39.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.52 / $27.67 / $47.01	Professional	TC	$18.52	$27.67	$47.01
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $42.17 / $76.06	Professional		$35.04	$42.17	$76.06
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.48 / $11.41 / $20.58	Professional	26	$9.48	$11.41	$20.58
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $25.56 / $30.62 / $58.95	Professional	TC	$25.56	$30.62	$58.95
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $9.16 / $9.30 / $320.92	Facility	26	$9.16	$9.30	$320.92
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $31.71 / $59.73	Professional		$25.25	$31.71	$59.73
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $9.16 / $16.93	Professional	26	$7.03	$9.16	$16.93
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $10.52 / $15.86 / $23.48	Professional	52	$10.52	$15.86	$23.48
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $18.21 / $22.54 / $40.97	Professional	TC	$18.21	$22.54	$40.97
United Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $36.61 / $66.01	Professional		$26.28	$36.61	$66.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.30 / $11.50 / $19.07	Professional	26	$8.30	$11.50	$19.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.21 / $27.71 / $50.12	Professional	TC	$20.21	$27.71	$50.12