Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.44 / $16.44 / $16.44	Facility	26	$16.44	$16.44	$16.44
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $33.47 / $114.87 / $123.73	Facility	TC	$33.47	$114.87	$123.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.67 / $47.98 / $79.50	Professional		$42.67	$47.98	$79.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $16.12 / $20.86	Professional	26	$13.80	$16.12	$20.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.17 / $31.92 / $54.21	Professional	TC	$28.17	$31.92	$54.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.34 / $61.20 / $85.21	Professional		$43.34	$61.20	$85.21
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.11 / $18.27 / $25.44	Professional	26	$14.11	$18.27	$25.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.41 / $41.62 / $59.77	Professional	TC	$30.41	$41.62	$59.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.37 / $66.86 / $105.38	Professional		$48.37	$66.86	$105.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.29 / $22.12 / $31.39	Professional	26	$16.29	$22.12	$31.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.66 / $44.07 / $72.27	Professional	TC	$31.66	$44.07	$72.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $27.41 / $63.90 / $119.89	Professional		$27.41	$63.90	$119.89
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $16.48 / $19.76 / $38.03	Professional	26	$16.48	$19.76	$38.03
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $38.75 / $46.62 / $84.12	Professional	TC	$38.75	$46.62	$84.12
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $114.87 / $117.64 / $127.24	Facility	TC	$114.87	$117.64	$127.24
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.67 / $50.65 / $101.18	Professional		$42.67	$50.65	$101.18
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $14.49 / $16.45 / $33.72	Professional	26	$14.49	$16.45	$33.72
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $28.17 / $34.53 / $65.48	Professional	TC	$28.17	$34.53	$65.48
United Facility/Professional Professional Modifier Low / Median / High Price $44.75 / $64.22 / $110.98	Professional		$44.75	$64.22	$110.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.80 / $24.99 / $34.22	Professional	26	$14.80	$24.99	$34.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.95 / $37.03 / $69.69	Professional	TC	$29.95	$37.03	$69.69