Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $114.82 / $117.49 / $125.89	Facility	TC	$114.82	$117.49	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $45.71 / $81.28	Professional		$33.11	$45.71	$81.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $15.14 / $31.62	Professional	26	$12.02	$15.14	$31.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $30.90 / $50.12	Professional	TC	$20.89	$30.90	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $87.10	Professional		$40.74	$58.88	$87.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $19.05 / $27.54	Professional	26	$12.30	$19.05	$27.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $38.90 / $54.95	Professional	TC	$28.18	$38.90	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $60.26 / $104.71	Professional		$43.65	$60.26	$104.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $20.89 / $37.15	Professional	26	$17.38	$20.89	$37.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $38.90 / $70.79	Professional	TC	$27.54	$38.90	$70.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $67.61 / $128.82	Professional		$54.95	$67.61	$128.82
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $22.39 / $41.69	Professional	26	$17.78	$22.39	$41.69
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $45.71 / $87.10	Professional	TC	$36.31	$45.71	$87.10
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $114.82 / $117.49 / $125.89	Facility	TC	$114.82	$117.49	$125.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $53.70 / $102.33	Professional		$38.02	$53.70	$102.33
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $18.20 / $36.31	Professional	26	$12.88	$18.20	$36.31
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $36.31 / $67.61	Professional	TC	$23.44	$36.31	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $58.88 / $117.49	Professional		$42.66	$58.88	$117.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $22.91 / $41.69	Professional	26	$15.85	$22.91	$41.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $38.02 / $72.44	Professional	TC	$26.30	$38.02	$72.44