Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $113.63 / $116.37 / $125.87	Facility	TC	$113.63	$116.37	$125.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $43.01 / $76.59	Professional		$33.86	$43.01	$76.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.50 / $15.20 / $22.96	Professional	26	$12.50	$15.20	$22.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.36 / $26.55 / $53.64	Professional	TC	$21.36	$26.55	$53.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.31 / $60.31 / $87.10	Professional		$44.31	$60.31	$87.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.23 / $20.10 / $27.33	Professional	26	$14.23	$20.10	$27.33
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.08 / $40.15 / $59.77	Professional	TC	$30.08	$40.15	$59.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.58 / $61.26 / $103.10	Professional		$47.58	$61.26	$103.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $24.36 / $34.56	Professional	26	$17.38	$24.36	$34.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.67 / $41.36 / $70.27	Professional	TC	$27.67	$41.36	$70.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $56.47 / $66.25 / $122.59	Professional		$56.47	$66.25	$122.59
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $18.14 / $20.99 / $41.84	Professional	26	$18.14	$20.99	$41.84
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $38.33 / $45.92 / $88.41	Professional	TC	$38.33	$45.92	$88.41
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $113.63 / $116.37 / $125.87	Facility	TC	$113.63	$116.37	$125.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $37.95 / $50.72 / $80.95	Professional		$37.95	$50.72	$80.95
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $14.44 / $16.61 / $25.50	Professional	26	$14.44	$16.61	$25.50
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $23.51 / $32.25 / $58.20	Professional	TC	$23.51	$32.25	$58.20
United Facility/Professional Professional Modifier Low / Median / High Price $45.47 / $63.20 / $105.62	Professional		$45.47	$63.20	$105.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.02 / $23.10 / $38.45	Professional	26	$16.02	$23.10	$38.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.87 / $36.32 / $71.73	Professional	TC	$28.87	$36.32	$71.73