Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $15.14 / $15.49	Facility	26	$15.14	$15.14	$15.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $52.48 / $104.71	Professional		$34.67	$52.48	$104.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $14.13 / $38.02	Professional	26	$10.00	$14.13	$38.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $36.31 / $69.18	Professional	TC	$21.88	$36.31	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $60.26 / $87.10	Professional		$37.15	$60.26	$87.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $15.85 / $23.44	Professional	26	$12.02	$15.85	$23.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $42.66 / $63.10	Professional	TC	$25.70	$42.66	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $63.10 / $107.15	Professional		$41.69	$63.10	$107.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $17.78 / $30.90	Professional	26	$12.02	$17.78	$30.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $45.71 / $79.43	Professional	TC	$29.51	$45.71	$79.43
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $141.25	Professional		$54.95	$70.79	$141.25
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $18.62 / $37.15	Professional	26	$14.79	$18.62	$37.15
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $52.48 / $97.72	Professional	TC	$41.69	$52.48	$97.72
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $15.14 / $15.49	Facility	26	$15.14	$15.14	$15.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $61.66 / $117.49	Professional		$41.69	$61.66	$117.49
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $17.38 / $32.36	Professional	26	$11.22	$17.38	$32.36
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $44.67 / $79.43	Professional	TC	$28.84	$44.67	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $61.66 / $120.23	Professional		$42.66	$61.66	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $18.62 / $33.88	Professional	26	$13.18	$18.62	$33.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $42.66 / $75.86	Professional	TC	$30.90	$42.66	$75.86