Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.44 / $93.90 / $93.90	Facility	26	$28.44	$93.90	$93.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $48.78 / $75.00	Professional		$41.75	$48.78	$75.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.37 / $24.32 / $36.61	Professional	26	$21.37	$24.32	$36.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.39 / $24.57 / $35.67	Professional	TC	$20.39	$24.57	$35.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.65 / $61.66 / $85.21	Professional		$47.65	$61.66	$85.21
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.05 / $32.42 / $44.50	Professional	26	$25.05	$32.42	$44.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.59 / $29.23 / $40.68	Professional	TC	$22.59	$29.23	$40.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.04 / $71.12 / $105.94	Professional		$56.04	$71.12	$105.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.22 / $34.72 / $52.87	Professional	26	$24.22	$34.72	$52.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.39 / $35.99 / $60.74	Professional	TC	$26.39	$35.99	$60.74
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $85.40 / $85.40 / $89.47	Professional		$85.40	$85.40	$89.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $25.56 / $54.41 / $96.57	Professional		$25.56	$54.41	$96.57
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $28.85 / $34.57 / $51.21	Professional	26	$28.85	$34.57	$51.21
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $25.82 / $38.56 / $50.11	Professional	TC	$25.82	$38.56	$50.11
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $27.13 / $28.44 / $93.90	Facility	26	$27.13	$28.44	$93.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $53.00 / $83.44	Professional		$41.75	$53.00	$83.44
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $21.37 / $28.44 / $44.08	Professional	26	$21.37	$28.44	$44.08
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $20.39 / $24.57 / $39.35	Professional	TC	$20.39	$24.57	$39.35
United Facility/Professional Professional Modifier Low / Median / High Price $44.71 / $65.28 / $110.35	Professional		$44.71	$65.28	$110.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.76 / $36.09 / $47.45	Professional	26	$24.76	$36.09	$47.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $28.93 / $51.15	Professional	TC	$19.95	$28.93	$51.15