Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $10.47 / $10.47	Facility	26	$10.47	$10.47	$10.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.02 / $85.11	Professional		$25.12	$38.02	$85.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.51 / $19.50	Professional	26	$6.03	$8.51	$19.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $28.84 / $64.57	Professional	TC	$18.20	$28.84	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $70.79	Professional		$30.20	$50.12	$70.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $11.22 / $16.60	Professional	26	$8.32	$11.22	$16.60
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $37.15 / $53.70	Professional	TC	$21.88	$37.15	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $48.98 / $89.13	Professional		$28.84	$48.98	$89.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $12.59 / $21.88	Professional	26	$8.71	$12.59	$21.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $37.15 / $69.18	Professional	TC	$20.42	$37.15	$69.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $61.66 / $123.03	Professional		$48.98	$61.66	$123.03
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $13.80 / $25.70	Professional	26	$10.96	$13.80	$25.70
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $47.86 / $95.50	Professional	TC	$38.02	$47.86	$95.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $46.77 / $102.33	Professional		$30.90	$46.77	$102.33
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.02 / $26.92	Professional	26	$7.94	$12.02	$26.92
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $36.31 / $77.62	Professional	TC	$22.91	$36.31	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $50.12 / $95.50	Professional		$33.88	$50.12	$95.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $12.88 / $22.91	Professional	26	$9.12	$12.88	$22.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $38.02 / $69.18	Professional	TC	$25.12	$38.02	$69.18