Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.80 / $8.80 / $66.89	Facility	26	$8.80	$8.80	$66.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.10 / $36.97 / $45.76	Professional		$33.10	$36.97	$45.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $8.80 / $12.40	Professional	26	$7.95	$8.80	$12.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.51 / $28.33 / $35.58	Professional	TC	$23.51	$28.33	$35.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.88 / $36.20 / $56.25	Professional		$27.88	$36.20	$56.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.47 / $10.96 / $16.46	Professional	26	$8.47	$10.96	$16.46
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.41 / $25.12 / $39.79	Professional	TC	$19.41	$25.12	$39.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.25 / $9.25 / $9.25	Facility	26	$9.25	$9.25	$9.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $43.76 / $73.65	Professional		$32.13	$43.76	$73.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.60 / $11.63 / $18.68	Professional	26	$8.60	$11.63	$18.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $32.40 / $53.11	Professional	TC	$22.91	$32.40	$53.11
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $43.23 / $43.23 / $43.23	Professional		$43.23	$43.23	$43.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $39.11 / $77.95	Professional		$30.10	$39.11	$77.95
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $8.89 / $11.44 / $21.47	Professional	26	$8.89	$11.44	$21.47
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $21.48 / $31.62 / $65.15	Professional	TC	$21.48	$31.62	$65.15
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $8.80 / $11.22 / $122.61	Facility	26	$8.80	$11.22	$122.61
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.10 / $36.97 / $51.53	Professional		$33.10	$36.97	$51.53
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $8.00 / $8.86 / $13.08	Professional	26	$8.00	$8.86	$13.08
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $23.00 / $28.17 / $36.79	Professional	TC	$23.00	$28.17	$36.79
United Facility/Professional Professional Modifier Low / Median / High Price $33.21 / $49.00 / $63.90	Professional		$33.21	$49.00	$63.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.28 / $12.02 / $18.55	Professional	26	$8.28	$12.02	$18.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.15 / $37.31 / $48.44	Professional	TC	$24.15	$37.31	$48.44