Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.28 / $11.28 / $11.28	Facility	26	$11.28	$11.28	$11.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $65.34 / $76.87	Professional		$24.99	$65.34	$76.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.83 / $9.83 / $14.50	Professional	26	$8.83	$9.83	$14.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.98 / $56.50 / $66.48	Professional	TC	$14.98	$56.50	$66.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.91 / $33.92 / $47.69	Professional		$24.91	$33.92	$47.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.06 / $13.30 / $17.80	Professional	26	$9.06	$13.30	$17.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $19.95 / $29.89	Professional	TC	$15.85	$19.95	$29.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.15 / $49.82 / $142.69	Professional		$28.15	$49.82	$142.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.21 / $14.80 / $21.89	Professional	26	$10.21	$14.80	$21.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.38 / $29.75 / $123.43	Professional	TC	$15.38	$29.75	$123.43
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $48.00 / $52.20	Professional		$48.00	$48.00	$52.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $31.74 / $37.24 / $68.90	Professional		$31.74	$37.24	$68.90
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.54 / $13.54 / $25.05	Professional	26	$11.54	$13.54	$25.05
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $20.20 / $24.30 / $43.85	Professional	TC	$20.20	$24.30	$43.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $42.79 / $79.14	Professional		$26.26	$42.79	$79.14
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $9.30 / $10.39 / $16.19	Professional	26	$9.30	$10.39	$16.19
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $14.98 / $30.45 / $69.31	Professional	TC	$14.98	$30.45	$69.31
United Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $32.51 / $57.87	Professional		$21.82	$32.51	$57.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.99 / $14.05 / $23.30	Professional	26	$9.99	$14.05	$23.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.06 / $18.57 / $32.99	Professional	TC	$12.06	$18.57	$32.99