Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.19 / $28.19 / $44.25	Facility	26	$28.19	$28.19	$44.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $51.74 / $73.11	Professional		$48.56	$51.74	$73.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.82 / $28.20 / $44.08	Professional	26	$25.82	$28.20	$44.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.29 / $23.83 / $29.62	Professional	TC	$20.29	$23.83	$29.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.50 / $64.79 / $90.29	Professional		$51.50	$64.79	$90.29
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.80 / $36.70 / $53.40	Professional	26	$27.80	$36.70	$53.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.29 / $29.06 / $36.88	Professional	TC	$20.29	$29.06	$36.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $39.28 / $39.28	Professional		$39.28	$39.28	$39.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.29 / $25.29 / $25.29	Professional	26	$25.29	$25.29	$25.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.99 / $13.99 / $13.99	Professional	TC	$13.99	$13.99	$13.99
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $38.43 / $57.65 / $68.75	Professional		$38.43	$57.65	$68.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $27.62 / $33.09 / $59.96	Professional		$27.62	$33.09	$59.96
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $17.72 / $21.23 / $40.86	Professional	26	$17.72	$21.23	$40.86
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $9.89 / $11.60 / $22.81	Professional	TC	$9.89	$11.60	$22.81
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $28.19 / $33.83 / $49.75	Facility	26	$28.19	$33.83	$49.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $50.14 / $55.28 / $100.89	Professional		$50.14	$55.28	$100.89
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $31.13 / $62.79	Professional	26	$26.30	$31.13	$62.79
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $20.29 / $25.11 / $45.90	Professional	TC	$20.29	$25.11	$45.90
United Facility/Professional Professional Modifier Low / Median / High Price $52.58 / $76.47 / $129.72	Professional		$52.58	$76.47	$129.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.57 / $42.63 / $70.72	Professional	26	$27.57	$42.63	$70.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.99 / $33.84 / $59.01	Professional	TC	$22.99	$33.84	$59.01