Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.18 / $11.18 / $78.05	Facility	26	$11.18	$11.18	$78.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.93 / $83.37 / $98.08	Professional		$39.93	$83.37	$98.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.40 / $10.39 / $15.31	Professional	26	$9.40	$10.39	$15.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.35 / $69.29 / $87.98	Professional	TC	$30.35	$69.29	$87.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $51.50 / $74.40	Professional		$38.17	$51.50	$74.40
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.06 / $12.79 / $17.80	Professional	26	$9.06	$12.79	$17.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.11 / $38.86 / $56.59	Professional	TC	$29.11	$38.86	$56.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $76.68 / $128.88	Professional		$45.70	$76.68	$128.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.19 / $14.94 / $21.89	Professional	26	$10.19	$14.94	$21.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.72 / $58.72 / $117.12	Professional	TC	$33.72	$58.72	$117.12
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $47.00 / $47.00	Professional		$30.00	$47.00	$47.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $75.68 / $112.19	Professional		$56.28	$75.68	$112.19
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.54 / $13.89 / $25.05	Professional	26	$11.54	$13.89	$25.05
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $37.10 / $45.26 / $85.57	Professional	TC	$37.10	$45.26	$85.57
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $10.76 / $11.37 / $78.62	Facility	26	$10.76	$11.37	$78.62
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $44.65 / $65.15 / $99.80	Professional		$44.65	$65.15	$99.80
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $9.58 / $11.18 / $20.70	Professional	26	$9.58	$11.18	$20.70
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $33.47 / $49.01 / $88.99	Professional	TC	$33.47	$49.01	$88.99
United Facility/Professional Professional Modifier Low / Median / High Price $36.92 / $56.08 / $99.30	Professional		$36.92	$56.08	$99.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $15.34 / $23.29	Professional	26	$10.11	$15.34	$23.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.16 / $42.75 / $74.42	Professional	TC	$27.16	$42.75	$74.42