Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.46 / $62.47 / $108.26	Professional		$62.46	$62.47	$108.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.14 / $10.14 / $16.17	Professional	26	$10.14	$10.14	$16.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.32 / $52.33 / $92.10	Professional	TC	$52.32	$52.33	$92.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.94 / $127.53 / $188.39	Professional		$32.94	$127.53	$188.39
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.84 / $19.07 / $23.02	Professional	26	$4.84	$19.07	$23.02
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.10 / $108.47 / $136.08	Professional	TC	$28.10	$108.47	$136.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $80.20 / $130.72	Professional		$19.47	$80.20	$130.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.49 / $12.70 / $27.43	Professional	26	$7.49	$12.70	$27.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.04 / $74.12 / $160.09	Professional	TC	$41.04	$74.12	$160.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $101.40 / $121.68 / $220.12	Professional		$101.40	$121.68	$220.12
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $14.43 / $17.32 / $31.32	Professional	26	$14.43	$17.32	$31.32
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $86.97 / $104.36 / $188.79	Professional	TC	$86.97	$104.36	$188.79
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $73.15 / $151.27	Professional		$43.67	$73.15	$151.27
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.54 / $10.93 / $25.85	Professional	26	$7.54	$10.93	$25.85
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $52.32 / $68.95 / $122.62	Professional	TC	$52.32	$68.95	$122.62
United Facility/Professional Professional Modifier Low / Median / High Price $50.13 / $77.23 / $111.90	Professional		$50.13	$77.23	$111.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.18 / $18.35 / $30.43	Professional	26	$12.18	$18.35	$30.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.18 / $64.59 / $157.03	Professional	TC	$43.18	$64.59	$157.03