Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.79 / $59.98 / $113.92	Facility	26	$36.79	$59.98	$113.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.59 / $95.37 / $161.84	Professional		$82.59	$95.37	$161.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.64 / $36.79 / $52.04	Professional	26	$27.64	$36.79	$52.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $62.21 / $86.65	Professional	TC	$54.95	$62.21	$86.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.13 / $111.46 / $154.51	Professional		$86.13	$111.46	$154.51
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.47 / $42.03 / $57.85	Professional	26	$32.47	$42.03	$57.85
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.65 / $69.43 / $96.65	Professional	TC	$53.65	$69.43	$96.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.13 / $125.03 / $181.94	Professional		$97.13	$125.03	$181.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.69 / $45.04 / $68.14	Professional	26	$30.69	$45.04	$68.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $62.67 / $78.47 / $113.79	Professional	TC	$62.67	$78.47	$113.79
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $101.76 / $135.41 / $164.03	Professional		$101.76	$135.41	$164.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $99.75 / $119.51 / $177.05	Professional		$99.75	$119.51	$177.05
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $37.92 / $43.87 / $67.30	Professional	26	$37.92	$43.87	$67.30
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $61.83 / $74.08 / $121.22	Professional	TC	$61.83	$74.08	$121.22
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $35.42 / $42.57 / $113.92	Facility	26	$35.42	$42.57	$113.92
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $89.62 / $95.37 / $160.66	Professional		$89.62	$95.37	$160.66
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $29.23 / $36.79 / $54.57	Professional	26	$29.23	$36.79	$54.57
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $57.47 / $61.15 / $95.53	Professional	TC	$57.47	$61.15	$95.53
United Facility/Professional Professional Modifier Low / Median / High Price $79.59 / $115.96 / $165.51	Professional		$79.59	$115.96	$165.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.06 / $46.52 / $76.59	Professional	26	$32.06	$46.52	$76.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.53 / $69.44 / $109.74	Professional	TC	$47.53	$69.44	$109.74