Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.49 / $18.20 / $18.20	Facility	26	$15.49	$18.20	$18.20
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $40.74 / $109.65 / $117.49	Facility	TC	$40.74	$109.65	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $42.66 / $75.86	Professional		$30.90	$42.66	$75.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $13.49 / $30.90	Professional	26	$10.00	$13.49	$30.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $28.84 / $44.67	Professional	TC	$19.95	$28.84	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $79.43	Professional		$38.02	$54.95	$79.43
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $16.98 / $24.55	Professional	26	$10.72	$16.98	$24.55
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $36.31 / $53.70	Professional	TC	$26.92	$36.31	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $54.95 / $95.50	Professional		$40.74	$54.95	$95.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $18.20 / $31.62	Professional	26	$15.14	$18.20	$31.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $36.31 / $66.07	Professional	TC	$25.70	$36.31	$66.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $63.10 / $117.49	Professional		$50.12	$63.10	$117.49
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $19.50 / $36.31	Professional	26	$15.49	$19.50	$36.31
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $42.66 / $81.28	Professional	TC	$34.67	$42.66	$81.28
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $15.49 / $18.20 / $18.20	Facility	26	$15.49	$18.20	$18.20
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $38.90 / $109.65 / $117.49	Facility	TC	$38.90	$109.65	$117.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $51.29 / $95.50	Professional		$35.48	$51.29	$95.50
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $16.22 / $31.62	Professional	26	$12.02	$16.22	$31.62
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $34.67 / $63.10	Professional	TC	$23.44	$34.67	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $54.95 / $107.15	Professional		$38.90	$54.95	$107.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $19.50 / $35.48	Professional	26	$13.49	$19.50	$35.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $36.31 / $69.18	Professional	TC	$25.12	$36.31	$69.18