Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.41 / $14.41 / $14.41	Facility	26	$14.41	$14.41	$14.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.67 / $42.48 / $78.05	Professional		$29.67	$42.48	$78.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.49 / $12.03 / $18.59	Professional	26	$9.49	$12.03	$18.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.23 / $28.39 / $59.46	Professional	TC	$20.23	$28.39	$59.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.37 / $57.67 / $83.30	Professional		$42.37	$57.67	$83.30
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.64 / $15.98 / $22.25	Professional	26	$11.64	$15.98	$22.25
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.73 / $41.02 / $61.04	Professional	TC	$30.73	$41.02	$61.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $58.00 / $97.83	Professional		$40.70	$58.00	$97.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $19.32 / $27.43	Professional	26	$11.75	$19.32	$27.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.23 / $42.24 / $71.77	Professional	TC	$28.23	$42.24	$71.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $63.35 / $117.22	Professional		$54.00	$63.35	$117.22
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $14.84 / $17.86 / $32.21	Professional	26	$14.84	$17.86	$32.21
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $39.15 / $47.12 / $85.01	Professional	TC	$39.15	$47.12	$85.01
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $35.67 / $47.90 / $92.79	Professional		$35.67	$47.90	$92.79
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $10.60 / $14.41 / $29.47	Professional	26	$10.60	$14.41	$29.47
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $25.05 / $33.47 / $66.17	Professional	TC	$25.05	$33.47	$66.17
United Facility/Professional Professional Modifier Low / Median / High Price $39.71 / $51.54 / $99.72	Professional		$39.71	$51.54	$99.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.99 / $18.07 / $30.03	Professional	26	$12.99	$18.07	$30.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.78 / $39.15 / $68.02	Professional	TC	$29.78	$39.15	$68.02