Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.03 / $16.03 / $16.03	Facility	26	$16.03	$16.03	$16.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $44.94 / $80.29	Professional		$33.04	$44.94	$80.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.52 / $13.48 / $20.86	Professional	26	$10.52	$13.48	$20.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $31.57 / $59.42	Professional	TC	$22.57	$31.57	$59.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.26 / $63.39 / $91.55	Professional		$46.26	$63.39	$91.55
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.04 / $18.27 / $25.44	Professional	26	$13.04	$18.27	$25.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.32 / $44.47 / $66.13	Professional	TC	$33.32	$44.47	$66.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.89 / $65.27 / $108.35	Professional		$44.89	$65.27	$108.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.27 / $21.70 / $31.39	Professional	26	$13.27	$21.70	$31.39
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 $58.94 / $70.93 / $127.95	Professional		$58.94	$70.93	$127.95
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $16.48 / $19.35 / $35.79	Professional	26	$16.48	$19.35	$35.79
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 Professional Modifier Low / Median / High Price $39.97 / $52.76 / $93.24	Professional		$39.97	$52.76	$93.24
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $12.10 / $16.04 / $29.62	Professional	26	$12.10	$16.04	$29.62
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $27.87 / $36.72 / $64.50	Professional	TC	$27.87	$36.72	$64.50
United Facility/Professional Professional Modifier Low / Median / High Price $47.28 / $59.35 / $109.84	Professional		$47.28	$59.35	$109.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.44 / $20.11 / $35.65	Professional	26	$14.44	$20.11	$35.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.79 / $39.36 / $76.45	Professional	TC	$29.79	$39.36	$76.45