Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.52 / $9.98 / $102.25	Facility	26	$9.52	$9.98	$102.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $58.95 / $95.42	Professional		$52.75	$58.95	$95.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.45 / $9.48 / $13.41	Professional	26	$7.45	$9.48	$13.41
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $28.08 / $29.48 / $31.77	Professional	52	$28.08	$29.48	$31.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.29 / $49.41 / $82.01	Professional	TC	$45.29	$49.41	$82.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.55 / $75.77 / $115.25	Professional		$58.55	$75.77	$115.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.18 / $11.88 / $17.84	Professional	26	$9.18	$11.88	$17.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.79 / $63.15 / $97.41	Professional	TC	$48.79	$63.15	$97.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.06 / $10.06 / $10.06	Facility	26	$10.06	$10.06	$10.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $80.44 / $135.34	Professional		$60.16	$80.44	$135.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.53 / $12.61 / $19.97	Professional	26	$9.53	$12.61	$19.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.61 / $67.95 / $111.77	Professional	TC	$50.61	$67.95	$111.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $62.21 / $80.12 / $159.72	Professional		$62.21	$80.12	$159.72
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.63 / $12.40 / $24.73	Professional	26	$9.63	$12.40	$24.73
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $52.58 / $67.72 / $135.00	Professional	TC	$52.58	$67.72	$135.00
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $9.52 / $12.00 / $102.25	Facility	26	$9.52	$12.00	$102.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $63.54 / $95.42	Professional		$52.75	$63.54	$95.42
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.66 / $9.53 / $13.16	Professional	26	$7.66	$9.53	$13.16
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $27.98 / $29.48 / $31.77	Professional	52	$27.98	$29.48	$31.77
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $45.29 / $54.06 / $82.01	Professional	TC	$45.29	$54.06	$82.01
United Facility/Professional Professional Modifier Low / Median / High Price $52.66 / $74.38 / $126.93	Professional		$52.66	$74.38	$126.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.97 / $12.94 / $17.46	Professional	26	$7.97	$12.94	$17.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.59 / $60.87 / $98.72	Professional	TC	$43.59	$60.87	$98.72