Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.99 / $10.38 / $12.00	Facility	26	$9.99	$10.38	$12.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $29.66 / $52.63	Professional		$24.92	$29.66	$52.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.32 / $13.82	Professional	26	$7.33	$8.32	$13.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $21.53 / $39.15	Professional	TC	$17.57	$21.53	$39.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.41 / $42.11 / $59.77	Professional		$30.41	$42.11	$59.77
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $11.88 / $16.52	Professional	26	$8.41	$11.88	$16.52
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.00 / $30.22 / $43.24	Professional	TC	$22.00	$30.22	$43.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.02 / $42.83 / $73.75	Professional		$29.02	$42.83	$73.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $13.90 / $20.30	Professional	26	$8.32	$13.90	$20.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.10 / $29.88 / $53.44	Professional	TC	$19.10	$29.88	$53.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $38.75 / $46.62 / $84.12	Professional		$38.75	$46.62	$84.12
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $12.90 / $23.27	Professional	26	$10.72	$12.90	$23.27
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $28.03 / $33.72 / $60.85	Professional	TC	$28.03	$33.72	$60.85
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $9.99 / $10.38 / $49.43	Facility	26	$9.99	$10.38	$49.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $35.09 / $62.15	Professional		$24.92	$35.09	$62.15
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $10.38 / $19.16	Professional	26	$7.33	$10.38	$19.16
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $26.00 / $43.17	Professional	TC	$17.57	$26.00	$43.17
United Facility/Professional Professional Modifier Low / Median / High Price $28.65 / $39.14 / $71.91	Professional		$28.65	$39.14	$71.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $12.02 / $21.62	Professional	26	$9.38	$12.02	$21.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.66 / $26.07 / $46.49	Professional	TC	$21.66	$26.07	$46.49