Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.01 / $14.01 / $14.01	Facility	26	$14.01	$14.01	$14.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $52.49 / $89.84	Professional		$43.78	$52.49	$89.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.61 / $11.85 / $17.68	Professional	26	$10.61	$11.85	$17.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.15 / $40.64 / $74.40	Professional	TC	$33.15	$40.64	$74.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $69.98 / $101.10	Professional		$51.43	$69.98	$101.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.13 / $15.53 / $21.62	Professional	26	$11.13	$15.53	$21.62
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.43 / $53.97 / $79.48	Professional	TC	$40.43	$53.97	$79.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.14 / $70.39 / $119.59	Professional		$50.14	$70.39	$119.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.36 / $18.77 / $26.64	Professional	26	$11.36	$18.77	$26.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.11 / $55.49 / $94.29	Professional	TC	$37.11	$55.49	$94.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $65.54 / $78.87 / $142.27	Professional		$65.54	$78.87	$142.27
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $14.01 / $16.87 / $30.41	Professional	26	$14.01	$16.87	$30.41
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $51.53 / $62.87 / $118.85	Professional	TC	$51.53	$62.87	$118.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $58.43 / $112.28	Professional		$43.78	$58.43	$112.28
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $10.61 / $14.01 / $28.63	Professional	26	$10.61	$14.01	$28.63
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $33.15 / $44.41 / $87.13	Professional	TC	$33.15	$44.41	$87.13
United Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $66.47 / $121.64	Professional		$52.33	$66.47	$121.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.63 / $18.66 / $31.17	Professional	26	$12.63	$18.66	$31.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.04 / $50.32 / $92.45	Professional	TC	$36.04	$50.32	$92.45