Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.60 / $16.60 / $16.60	Facility	26	$16.60	$16.60	$16.60
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $117.49 / $120.23 / $125.89	Facility	TC	$117.49	$120.23	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $48.98 / $102.33	Professional		$36.31	$48.98	$102.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $15.85 / $44.67	Professional	26	$12.02	$15.85	$44.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $33.11 / $67.61	Professional	TC	$21.88	$33.11	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $57.54 / $85.11	Professional		$40.74	$57.54	$85.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $18.20 / $28.18	Professional	26	$12.88	$18.20	$28.18
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $40.74 / $58.88	Professional	TC	$25.12	$40.74	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $64.57 / $107.15	Professional		$47.86	$64.57	$107.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $21.38 / $34.67	Professional	26	$16.22	$21.38	$34.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $43.65 / $72.44	Professional	TC	$28.84	$43.65	$72.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $66.07 / $131.83	Professional		$52.48	$66.07	$131.83
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 $38.02 / $46.77 / $93.33	Professional	TC	$38.02	$46.77	$93.33
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $117.49 / $120.23 / $125.89	Facility	TC	$117.49	$120.23	$125.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $60.26 / $117.49	Professional		$42.66	$60.26	$117.49
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $19.50 / $42.66	Professional	26	$12.88	$19.50	$42.66
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $40.74 / $79.43	Professional	TC	$28.18	$40.74	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $63.10 / $123.03	Professional		$41.69	$63.10	$123.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $23.44 / $36.31	Professional	26	$14.79	$23.44	$36.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $40.74 / $74.13	Professional	TC	$28.18	$40.74	$74.13