Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $12.02 / $102.33	Facility	26	$9.55	$12.02	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $66.07 / $165.96	Professional		$51.29	$66.07	$165.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $9.77 / $26.30	Professional	26	$7.76	$9.77	$26.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $51.29 / $100.00	Professional	TC	$40.74	$51.29	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $81.28 / $131.83	Professional		$53.70	$81.28	$131.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $12.59 / $20.42	Professional	26	$8.13	$12.59	$20.42
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $69.18 / $112.20	Professional	TC	$45.71	$69.18	$112.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.14 / $10.00 / $14.13	Facility	26	$2.14	$10.00	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $77.62 / $138.04	Professional		$58.88	$77.62	$138.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $12.02 / $20.42	Professional	26	$9.12	$12.02	$20.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $66.07 / $117.49	Professional	TC	$50.12	$66.07	$117.49
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $120.23 / $199.53	Professional		$75.86	$120.23	$199.53
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $17.38 / $28.84	Professional	26	$11.22	$17.38	$28.84
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $102.33 / $169.82	Professional	TC	$64.57	$102.33	$169.82
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $12.02 / $100.00	Facility	26	$9.55	$12.02	$100.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $165.96	Professional		$52.48	$74.13	$165.96
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $11.22 / $25.70	Professional	26	$7.94	$11.22	$25.70
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $60.26 / $120.23	Professional	TC	$45.71	$60.26	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $131.83	Professional		$54.95	$79.43	$131.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.30 / $20.42	Professional	26	$8.91	$12.30	$20.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $67.61 / $109.65	Professional	TC	$45.71	$67.61	$109.65