Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.38 / $10.38 / $10.38	Facility	26	$10.38	$10.38	$10.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $35.71 / $69.62	Professional		$25.85	$35.71	$69.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.90 / $8.89 / $13.48	Professional	26	$6.90	$8.89	$13.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.07 / $26.88 / $51.90	Professional	TC	$19.07	$26.88	$51.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.52 / $51.50 / $74.40	Professional		$37.52	$51.50	$74.40
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $11.88 / $16.52	Professional	26	$8.41	$11.88	$16.52
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.11 / $38.42 / $57.85	Professional	TC	$29.11	$38.42	$57.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.69 / $50.51 / $85.81	Professional		$33.69	$50.51	$85.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $13.90 / $20.30	Professional	26	$8.71	$13.90	$20.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.32 / $39.15 / $66.52	Professional	TC	$23.32	$39.15	$66.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $47.82 / $57.53 / $103.81	Professional		$47.82	$57.53	$103.81
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $12.90 / $23.27	Professional	26	$10.72	$12.90	$23.27
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $37.10 / $45.26 / $85.57	Professional	TC	$37.10	$45.26	$85.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $41.43 / $73.45	Professional		$29.87	$41.43	$73.45
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.92 / $10.38 / $19.16	Professional	26	$7.92	$10.38	$19.16
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $31.05 / $57.23	Professional	TC	$21.94	$31.05	$57.23
United Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $46.20 / $86.25	Professional		$37.17	$46.20	$86.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $13.47 / $23.09	Professional	26	$9.38	$13.47	$23.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.20 / $33.26 / $64.63	Professional	TC	$25.20	$33.26	$64.63