Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $16.98 / $16.98	Facility	26	$16.98	$16.98	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $45.71 / $100.00	Professional		$28.84	$45.71	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $14.13 / $38.90	Professional	26	$10.00	$14.13	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $30.90 / $67.61	Professional	TC	$18.20	$30.90	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $56.23 / $81.28	Professional		$37.15	$56.23	$81.28
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $17.78 / $26.30	Professional	26	$10.96	$17.78	$26.30
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $37.15 / $54.95	Professional	TC	$26.30	$37.15	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $100.00	Professional		$40.74	$58.88	$100.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $19.95 / $34.67	Professional	26	$12.88	$19.95	$34.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $39.81 / $69.18	Professional	TC	$26.92	$39.81	$69.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $66.07 / $128.82	Professional		$52.48	$66.07	$128.82
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $20.42 / $38.02	Professional	26	$16.22	$20.42	$38.02
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $44.67 / $85.11	Professional	TC	$36.31	$44.67	$85.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $56.23 / $109.65	Professional		$38.90	$56.23	$109.65
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $19.05 / $38.02	Professional	26	$12.02	$19.05	$38.02
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $38.02 / $75.86	Professional	TC	$25.12	$38.02	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $56.23 / $112.20	Professional		$40.74	$56.23	$112.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $19.50 / $37.15	Professional	26	$14.79	$19.50	$37.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $37.15 / $64.57	Professional	TC	$26.92	$37.15	$64.57