Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.96 / $34.50 / $102.94	Facility	26	$33.96	$34.50	$102.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.14 / $57.78 / $85.80	Professional		$50.14	$57.78	$85.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.57 / $30.10 / $44.08	Professional	26	$26.57	$30.10	$44.08
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $33.40 / $47.78 / $84.29	Professional	52	$33.40	$47.78	$84.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.71 / $26.63 / $41.71	Professional	TC	$22.71	$26.63	$41.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.85 / $64.79 / $99.19	Professional		$39.85	$64.79	$99.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.57 / $35.71 / $53.40	Professional	26	$21.57	$35.71	$53.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.27 / $29.06 / $45.78	Professional	TC	$18.27	$29.06	$45.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.30 / $72.48 / $118.74	Professional		$60.30	$72.48	$118.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.21 / $44.92 / $66.98	Professional	26	$32.21	$44.92	$66.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.57 / $33.84 / $55.30	Professional	TC	$25.57	$33.84	$55.30
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $60.94 / $84.80 / $105.00	Professional		$60.94	$84.80	$105.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $39.01 / $70.68	Professional		$17.41	$39.01	$70.68
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $17.72 / $20.79 / $38.47	Professional	26	$17.72	$20.79	$38.47
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $14.84 / $18.10 / $32.21	Professional	TC	$14.84	$18.10	$32.21
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $33.96 / $39.81 / $102.94	Facility	26	$33.96	$39.81	$102.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $62.31 / $113.09	Professional		$53.00	$62.31	$113.09
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $26.85 / $33.96 / $62.79	Professional	26	$26.85	$33.96	$62.79
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $33.40 / $47.78 / $84.29	Professional	52	$33.40	$47.78	$84.29
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $23.57 / $28.35 / $50.29	Professional	TC	$23.57	$28.35	$50.29
United Facility/Professional Professional Modifier Low / Median / High Price $55.94 / $78.31 / $138.54	Professional		$55.94	$78.31	$138.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.59 / $42.63 / $70.72	Professional	26	$29.59	$42.63	$70.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.99 / $33.90 / $59.01	Professional	TC	$22.99	$33.90	$59.01