Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $2.69 / $4.68	Facility		$2.69	$2.69	$4.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $20.89 / $64.57	Professional		$10.00	$20.89	$64.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $47.86 / $138.04	Professional	26	$15.85	$47.86	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $63.10 / $79.43	Professional		$19.05	$63.10	$79.43
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $45.71 / $72.44	Professional	26	$7.41	$45.71	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $7.41 / $7.41	Facility		$7.41	$7.41	$7.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $40.74 / $40.74	Professional	26	$40.74	$40.74	$40.74
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.18 / $123.03	Professional		$57.54	$69.18	$123.03
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $64.57 / $114.82	Professional	26	$53.70	$64.57	$114.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $2.69 / $2.88	Facility		$2.69	$2.69	$2.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $48.98 / $93.33	Professional		$12.59	$48.98	$93.33
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $47.86 / $138.04	Professional	26	$16.98	$47.86	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $29.51 / $102.33	Professional		$23.44	$29.51	$102.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $28.84 / $95.50	Professional	26	$23.44	$28.84	$95.50