Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $11.75 / $79.43	Facility	26	$10.72	$11.75	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $61.66 / $275.42	Professional		$33.88	$61.66	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.96 / $27.54	Professional	26	$7.94	$10.96	$27.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $58.88 / $190.55	Professional	TC	$25.12	$58.88	$190.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $51.29 / $74.13	Professional		$31.62	$51.29	$74.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $12.02 / $17.78	Professional	26	$7.59	$12.02	$17.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $37.15 / $56.23	Professional	TC	$23.99	$37.15	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $72.44 / $128.82	Professional		$43.65	$72.44	$128.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $13.49 / $23.44	Professional	26	$10.00	$13.49	$23.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $58.88 / $117.49	Professional	TC	$26.92	$58.88	$117.49
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $46.77	Professional		$30.20	$30.20	$46.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $117.49	Professional		$47.86	$60.26	$117.49
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 $36.31 / $45.71 / $91.20	Professional	TC	$36.31	$45.71	$91.20
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $11.75 / $79.43	Facility	26	$10.72	$11.75	$79.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $56.23 / $169.82	Professional		$37.15	$56.23	$169.82
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.02 / $26.92	Professional	26	$8.91	$12.02	$26.92
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $45.71 / $131.83	Professional	TC	$27.54	$45.71	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $57.54 / $114.82	Professional		$37.15	$57.54	$114.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $14.13 / $25.12	Professional	26	$9.77	$14.13	$25.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $42.66 / $85.11	Professional	TC	$26.92	$42.66	$85.11