Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.79 / $15.14 / $17.78	Facility	26	$14.79	$15.14	$17.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $45.71 / $93.33	Professional		$28.18	$45.71	$93.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $15.49 / $38.90	Professional	26	$10.96	$15.49	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $35.48 / $66.07	Professional	TC	$22.91	$35.48	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $54.95 / $79.43	Professional		$35.48	$54.95	$79.43
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $16.22 / $23.99	Professional	26	$10.23	$16.22	$23.99
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $36.31 / $53.70	Professional	TC	$25.70	$36.31	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $56.23 / $95.50	Professional		$38.02	$56.23	$95.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $18.62 / $31.62	Professional	26	$12.88	$18.62	$31.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $38.90 / $67.61	Professional	TC	$25.12	$38.90	$67.61
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $63.10 / $120.23	Professional		$48.98	$63.10	$120.23
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 $35.48 / $44.67 / $83.18	Professional	TC	$35.48	$44.67	$83.18
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $14.79 / $15.14 / $17.78	Facility	26	$14.79	$15.14	$17.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $51.29 / $95.50	Professional		$33.11	$51.29	$95.50
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $17.38 / $33.88	Professional	26	$12.02	$17.38	$33.88
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $37.15 / $66.07	Professional	TC	$25.70	$37.15	$66.07
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 $13.18 / $19.05 / $33.88	Professional	26	$13.18	$19.05	$33.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $36.31 / $64.57	Professional	TC	$26.30	$36.31	$64.57