Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.22 / $11.22 / $11.22	Facility	26	$11.22	$11.22	$11.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $275.42	Professional		$21.88	$28.84	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.00 / $34.67	Professional	26	$7.94	$10.00	$34.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $19.95 / $239.88	Professional	TC	$12.88	$19.95	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.88 / $61.66	Professional		$21.88	$33.88	$61.66
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $13.18 / $23.44	Professional	26	$8.51	$13.18	$23.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $20.42 / $38.90	Professional	TC	$13.80	$20.42	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $54.95 / $151.36	Professional		$27.54	$54.95	$151.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $13.49 / $26.30	Professional	26	$10.00	$13.49	$26.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $33.11 / $141.25	Professional	TC	$12.88	$33.11	$141.25
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $52.48	Professional		$47.86	$47.86	$52.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $37.15 / $72.44	Professional		$18.62	$37.15	$72.44
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $14.13 / $26.92	Professional	26	$11.22	$14.13	$26.92
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $23.99 / $48.98	Professional	TC	$19.05	$23.99	$48.98
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $43.65 / $275.42	Professional		$23.99	$43.65	$275.42
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.59 / $32.36	Professional	26	$8.91	$12.59	$32.36
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $26.30 / $128.82	Professional	TC	$14.13	$26.30	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $36.31 / $97.72	Professional		$21.88	$36.31	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $14.13 / $26.92	Professional	26	$9.77	$14.13	$26.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $21.38 / $63.10	Professional	TC	$12.02	$21.38	$63.10