Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.24 / $7.94 / $35.48	Facility	26	$7.24	$7.94	$35.48
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.30 / $87.10 / $302.00	Facility	TC	$26.30	$87.10	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $36.31 / $64.57	Professional		$18.20	$36.31	$64.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $7.76 / $21.88	Professional	26	$5.01	$7.76	$21.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $25.70 / $57.54	Professional	TC	$16.98	$25.70	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $37.15 / $54.95	Professional		$25.12	$37.15	$54.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.25 / $8.13 / $12.02	Professional	26	$5.25	$8.13	$12.02
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $29.51 / $42.66	Professional	TC	$19.95	$29.51	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.02 / $66.07	Professional		$25.12	$38.02	$66.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $9.12 / $15.85	Professional	26	$6.03	$9.12	$15.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $30.20 / $51.29	Professional	TC	$19.05	$30.20	$51.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $43.65 / $87.10	Professional		$33.88	$43.65	$87.10
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $9.55 / $17.78	Professional	26	$7.59	$9.55	$17.78
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $33.88 / $67.61	Professional	TC	$26.92	$33.88	$67.61
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $7.24 / $7.59 / $35.48	Facility	26	$7.24	$7.59	$35.48
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $26.30 / $87.10 / $338.84	Facility	TC	$26.30	$87.10	$338.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $37.15 / $72.44	Professional		$22.39	$37.15	$72.44
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $8.91 / $18.62	Professional	26	$5.89	$8.91	$18.62
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $29.51 / $61.66	Professional	TC	$21.38	$29.51	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $38.90 / $75.86	Professional		$26.30	$38.90	$75.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $9.33 / $17.38	Professional	26	$6.61	$9.33	$17.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $29.51 / $53.70	Professional	TC	$19.50	$29.51	$53.70