Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.04 / $15.04 / $15.23	Facility	26	$15.04	$15.04	$15.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.94 / $46.24 / $78.70	Professional		$36.94	$46.24	$78.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.21 / $12.71 / $19.27	Professional	26	$11.21	$12.71	$19.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.55 / $31.21 / $59.42	Professional	TC	$27.55	$31.21	$59.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.54 / $62.51 / $90.29	Professional		$45.54	$62.51	$90.29
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.08 / $16.89 / $23.53	Professional	26	$12.08	$16.89	$23.53
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.32 / $44.47 / $66.76	Professional	TC	$33.32	$44.47	$66.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.33 / $63.99 / $106.09	Professional		$44.33	$63.99	$106.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.14 / $20.39 / $29.02	Professional	26	$12.14	$20.39	$29.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.92 / $46.22 / $78.53	Professional	TC	$30.92	$46.22	$78.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $57.71 / $69.44 / $125.28	Professional		$57.71	$69.44	$125.28
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $15.25 / $18.36 / $33.10	Professional	26	$15.25	$18.36	$33.10
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $42.46 / $51.09 / $92.17	Professional	TC	$42.46	$51.09	$92.17
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $15.04 / $15.04 / $15.23	Facility	26	$15.04	$15.04	$15.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $51.95 / $88.72	Professional		$38.77	$51.95	$88.72
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $11.21 / $15.23 / $23.20	Professional	26	$11.21	$15.23	$23.20
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $27.55 / $36.72 / $65.51	Professional	TC	$27.55	$36.72	$65.51
United Facility/Professional Professional Modifier Low / Median / High Price $43.03 / $59.73 / $108.14	Professional		$43.03	$59.73	$108.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.71 / $19.07 / $31.71	Professional	26	$13.71	$19.07	$31.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.97 / $39.35 / $76.43	Professional	TC	$31.97	$39.35	$76.43