Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.80 / $12.80 / $12.80	Facility	26	$12.80	$12.80	$12.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $39.56 / $67.26	Professional		$35.04	$39.56	$67.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.60 / $11.77 / $16.09	Professional	26	$10.60	$11.77	$16.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.44 / $28.62 / $47.26	Professional	TC	$24.44	$28.62	$47.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $51.62 / $71.84	Professional		$36.54	$51.62	$71.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $14.16 / $19.71	Professional	26	$10.02	$14.16	$19.71
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.52 / $36.67 / $52.14	Professional	TC	$26.52	$36.67	$52.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.56 / $55.11 / $88.77	Professional		$40.56	$55.11	$88.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $17.10 / $24.27	Professional	26	$11.75	$17.10	$24.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.39 / $38.33 / $63.93	Professional	TC	$27.39	$38.33	$63.93
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 $12.78 / $15.38 / $27.74	Professional	26	$12.78	$15.38	$27.74
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $33.79 / $40.68 / $73.37	Professional	TC	$33.79	$40.68	$73.37
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $44.73 / $82.92	Professional		$35.04	$44.73	$82.92
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $10.60 / $12.80 / $26.07	Professional	26	$10.60	$12.80	$26.07
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $24.44 / $30.45 / $57.08	Professional	TC	$24.44	$30.45	$57.08
United Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $56.08 / $92.08	Professional		$37.17	$56.08	$92.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.55 / $18.07 / $26.65	Professional	26	$11.55	$18.07	$26.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.62 / $34.79 / $59.99	Professional	TC	$25.62	$34.79	$59.99