Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.66 / $15.23 / $17.62	Facility	26	$14.66	$15.23	$17.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.14 / $42.35 / $74.25	Professional		$28.14	$42.35	$74.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $13.04 / $20.82	Professional	26	$11.50	$13.04	$20.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.12 / $29.55 / $50.73	Professional	TC	$24.12	$29.55	$50.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $55.91 / $80.76	Professional		$40.76	$55.91	$80.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.29 / $17.35 / $24.16	Professional	26	$12.29	$17.35	$24.16
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.46 / $37.99 / $56.59	Professional	TC	$28.46	$37.99	$56.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.85 / $57.41 / $94.09	Professional		$39.85	$57.41	$94.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $20.51 / $29.81	Professional	26	$12.88	$20.51	$29.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.90 / $39.00 / $65.77	Professional	TC	$25.90	$39.00	$65.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $52.46 / $112.75	Professional		$36.27	$52.46	$112.75
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $15.66 / $18.84 / $33.99	Professional	26	$15.66	$18.84	$33.99
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $41.96 / $56.44 / $83.66	Professional	TC	$41.96	$56.44	$83.66
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $14.66 / $15.23 / $17.62	Facility	26	$14.66	$15.23	$17.62
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $35.63 / $49.14 / $80.48	Professional		$35.63	$49.14	$80.48
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $11.92 / $15.23 / $28.15	Professional	26	$11.92	$15.23	$28.15
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $27.04 / $34.25 / $55.94	Professional	TC	$27.04	$34.25	$55.94
United Facility/Professional Professional Modifier Low / Median / High Price $41.50 / $54.43 / $96.34	Professional		$41.50	$54.43	$96.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.71 / $19.45 / $33.86	Professional	26	$13.71	$19.45	$33.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.79 / $32.97 / $64.63	Professional	TC	$26.79	$32.97	$64.63