Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $28.18 / $93.33	Facility	26	$26.92	$28.18	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $57.54 / $169.82	Professional		$37.15	$57.54	$169.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $32.36 / $72.44	Professional	26	$19.95	$32.36	$72.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $23.99 / $53.70	Professional	TC	$16.98	$23.99	$53.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $63.10 / $89.13	Professional		$40.74	$63.10	$89.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $33.11 / $48.98	Professional	26	$21.38	$33.11	$48.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $29.51 / $40.74	Professional	TC	$20.42	$29.51	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $112.20	Professional		$54.95	$72.44	$112.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $34.67 / $53.70	Professional	26	$21.88	$34.67	$53.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $38.02 / $74.13	Professional	TC	$26.30	$38.02	$74.13
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $89.13	Professional		$85.11	$85.11	$89.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $70.79 / $128.82	Professional		$47.86	$70.79	$128.82
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $36.31 / $69.18	Professional	26	$28.84	$36.31	$69.18
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $32.36 / $60.26	Professional	TC	$25.70	$32.36	$60.26
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $28.18 / $93.33	Facility	26	$26.92	$28.18	$93.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $61.66 / $128.82	Professional		$41.69	$61.66	$128.82
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $33.88 / $67.61	Professional	26	$21.88	$33.88	$67.61
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $26.30 / $57.54	Professional	TC	$19.95	$26.30	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $67.61 / $120.23	Professional		$44.67	$67.61	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $36.31 / $64.57	Professional	26	$22.91	$36.31	$64.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $30.90 / $58.88	Professional	TC	$19.95	$30.90	$58.88