Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.00 / $12.00 / $12.00	Facility	26	$12.00	$12.00	$12.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $21.21 / $31.06	Professional		$18.59	$21.21	$31.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.14 / $10.21 / $15.66	Professional	26	$9.14	$10.21	$15.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.65 / $11.36 / $15.39	Professional	TC	$8.65	$11.36	$15.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $24.21 / $34.97	Professional		$18.70	$24.21	$34.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.17 / $13.25 / $18.43	Professional	26	$10.17	$13.25	$18.43
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.73 / $11.45 / $16.52	Professional	TC	$8.73	$11.45	$16.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.47 / $42.53	Professional		$21.88	$30.47	$42.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.84 / $16.54 / $22.68	Professional	26	$9.84	$16.54	$22.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.67 / $15.37 / $26.12	Professional	TC	$9.67	$15.37	$26.12
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $23.50 / $51.01	Professional		$13.06	$23.50	$51.01
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $12.37 / $14.31 / $28.53	Professional	26	$12.37	$14.31	$28.53
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $11.13 / $13.58 / $25.67	Professional	TC	$11.13	$13.58	$25.67
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.26 / $22.03 / $32.14	Professional		$19.26	$22.03	$32.14
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $9.14 / $12.00 / $17.28	Professional	26	$9.14	$12.00	$17.28
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $9.58 / $11.48 / $18.66	Professional	TC	$9.58	$11.48	$18.66
United Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $28.06 / $44.93	Professional		$19.48	$28.06	$44.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.83 / $15.82 / $24.97	Professional	26	$10.83	$15.82	$24.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.66 / $12.42 / $19.96	Professional	TC	$8.66	$12.42	$19.96