Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.97 / $9.97 / $11.53	Facility	26	$9.97	$9.97	$11.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $35.77 / $63.71	Professional		$29.89	$35.77	$63.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.32 / $13.61	Professional	26	$7.33	$8.32	$13.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $27.65 / $50.73	Professional	TC	$22.57	$27.65	$50.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $49.74 / $71.84	Professional		$36.54	$49.74	$71.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.09 / $11.41 / $15.26	Professional	26	$8.09	$11.41	$15.26
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.46 / $37.99 / $56.59	Professional	TC	$28.46	$37.99	$56.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $50.06 / $85.06	Professional		$33.29	$50.06	$85.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $13.36 / $19.52	Professional	26	$8.32	$13.36	$19.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.32 / $39.15 / $66.52	Professional	TC	$23.32	$39.15	$66.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $46.58 / $56.05 / $101.12	Professional		$46.58	$56.05	$101.12
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.31 / $12.40 / $22.38	Professional	26	$10.31	$12.40	$22.38
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $36.27 / $44.25 / $83.66	Professional	TC	$36.27	$44.25	$83.66
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $11.53 / $11.53 / $11.53	Facility	26	$11.53	$11.53	$11.53
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $41.02 / $71.54	Professional		$29.89	$41.02	$71.54
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $9.97 / $18.39	Professional	26	$7.33	$9.97	$18.39
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $31.05 / $61.27	Professional	TC	$22.57	$31.05	$61.27
United Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $45.71 / $91.21	Professional		$33.86	$45.71	$91.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $12.50 / $20.78	Professional	26	$9.02	$12.50	$20.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.79 / $37.61 / $64.63	Professional	TC	$27.79	$37.61	$64.63