Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.85 / $16.85 / $16.85	Facility	26	$16.85	$16.85	$16.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.01 / $41.47 / $77.45	Professional		$29.01	$41.47	$77.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.27 / $13.04 / $21.37	Professional	26	$10.27	$13.04	$21.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.78 / $28.75 / $54.22	Professional	TC	$18.78	$28.75	$54.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.37 / $58.11 / $83.93	Professional		$42.37	$58.11	$83.93
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.26 / $18.73 / $26.07	Professional	26	$13.26	$18.73	$26.07
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.11 / $38.86 / $57.85	Professional	TC	$29.11	$38.86	$57.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.78 / $59.68 / $97.84	Professional		$41.78	$59.68	$97.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $22.24 / $32.18	Professional	26	$12.88	$22.24	$32.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.87 / $42.19 / $67.27	Professional	TC	$27.87	$42.19	$67.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $64.98 / $117.22	Professional		$54.00	$64.98	$117.22
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $16.89 / $20.32 / $38.97	Professional	26	$16.89	$20.32	$38.97
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $37.10 / $43.53 / $85.57	Professional	TC	$37.10	$43.53	$85.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $48.71 / $93.05	Professional		$36.88	$48.71	$93.05
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $16.85 / $31.96	Professional	26	$11.50	$16.85	$31.96
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $25.37 / $31.86 / $62.67	Professional	TC	$25.37	$31.86	$62.67
United Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $52.77 / $101.40	Professional		$43.67	$52.77	$101.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.16 / $19.59 / $35.07	Professional	26	$15.16	$19.59	$35.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.08 / $32.40 / $70.84	Professional	TC	$28.08	$32.40	$70.84