Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $57.75 / $96.85	Professional		$57.75	$57.75	$96.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.78 / $31.78 / $50.20	Professional	26	$31.78	$31.78	$50.20
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $17.46 / $28.88 / $28.88	Professional	52	$17.46	$28.88	$28.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.96 / $25.97 / $46.06	Professional	TC	$25.96	$25.97	$46.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $111.73 / $202.05	Professional		$28.79	$111.73	$202.05
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.95 / $58.86 / $85.05	Professional	26	$14.95	$58.86	$85.05
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.84 / $52.87 / $68.04	Professional	TC	$13.84	$52.87	$68.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.28 / $77.64 / $145.60	Professional		$57.28	$77.64	$145.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.05 / $39.45 / $85.22	Professional	26	$23.05	$39.45	$85.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.47 / $36.45 / $93.62	Professional	TC	$20.47	$36.45	$93.62
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $62.59 / $107.79 / $152.99	Professional		$62.59	$107.79	$152.99
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $51.51 / $102.53 / $157.29	Professional		$51.51	$102.53	$157.29
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $44.52 / $53.42 / $96.64	Professional	26	$44.52	$53.42	$96.64
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $44.11 / $52.93 / $95.75	Professional	TC	$44.11	$52.93	$95.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.44 / $154.82	Professional		$50.00	$65.44	$154.82
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $31.78 / $33.92 / $80.25	Professional	26	$31.78	$33.92	$80.25
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $17.46 / $28.88 / $32.72	Professional	52	$17.46	$28.88	$32.72
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $25.96 / $34.90 / $74.40	Professional	TC	$25.96	$34.90	$74.40
United Facility/Professional Professional Modifier Low / Median / High Price $43.13 / $74.05 / $122.40	Professional		$43.13	$74.05	$122.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.14 / $55.81 / $95.39	Professional	26	$38.14	$55.81	$95.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.55 / $55.04 / $77.93	Professional	TC	$21.55	$55.04	$77.93