Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $15.85 / $15.85	Facility	26	$15.85	$15.85	$15.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $48.98 / $107.15	Professional		$33.11	$48.98	$107.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.88 / $30.20	Professional	26	$10.00	$12.88	$30.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $34.67 / $66.07	Professional	TC	$21.88	$34.67	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $61.66 / $89.13	Professional		$38.90	$61.66	$89.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $17.38 / $25.70	Professional	26	$12.88	$17.38	$25.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $42.66 / $63.10	Professional	TC	$25.12	$42.66	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $63.10 / $109.65	Professional		$42.66	$63.10	$109.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $19.50 / $33.88	Professional	26	$13.18	$19.50	$33.88
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 $56.23 / $70.79 / $134.90	Professional		$56.23	$70.79	$134.90
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $19.95 / $37.15	Professional	26	$15.85	$19.95	$37.15
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $51.29 / $95.50	Professional	TC	$40.74	$51.29	$95.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $66.07 / $138.04	Professional		$39.81	$66.07	$138.04
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $19.05 / $41.69	Professional	26	$12.02	$19.05	$41.69
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $46.77 / $100.00	Professional	TC	$28.18	$46.77	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $61.66 / $120.23	Professional		$43.65	$61.66	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $19.95 / $35.48	Professional	26	$13.80	$19.95	$35.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $41.69 / $75.86	Professional	TC	$30.90	$41.69	$75.86