Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.58 / $11.58 / $11.58	Facility	26	$11.58	$11.58	$11.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.47 / $56.88	Professional		$22.91	$33.47	$56.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.98 / $9.94 / $15.76	Professional	26	$7.98	$9.94	$15.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.93 / $23.48 / $41.81	Professional	TC	$14.93	$23.48	$41.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $42.61 / $61.04	Professional		$31.05	$42.61	$61.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.53 / $13.25 / $17.80	Professional	26	$9.53	$13.25	$17.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.67 / $28.93 / $43.24	Professional	TC	$21.67	$28.93	$43.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.61 / $43.74 / $71.56	Professional		$31.61	$43.74	$71.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.10 / $15.80 / $22.68	Professional	26	$9.10	$15.80	$22.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.34 / $31.37 / $50.22	Professional	TC	$21.34	$31.37	$50.22
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $39.57 / $46.42 / $85.90	Professional		$39.57	$46.42	$85.90
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.95 / $14.39 / $25.94	Professional	26	$11.95	$14.39	$25.94
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $27.62 / $33.70 / $63.71	Professional	TC	$27.62	$33.70	$63.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $38.02 / $67.94	Professional		$30.80	$38.02	$67.94
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $9.51 / $11.59 / $24.41	Professional	26	$9.51	$11.59	$24.41
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $21.12 / $26.60 / $53.69	Professional	TC	$21.12	$26.60	$53.69
United Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $40.08 / $73.58	Professional		$31.76	$40.08	$73.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.05 / $14.97 / $24.13	Professional	26	$10.05	$14.97	$24.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.29 / $26.69 / $49.45	Professional	TC	$21.29	$26.69	$49.45