Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.78 / $18.62 / $18.62	Facility	26	$17.78	$18.62	$18.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $117.49	Professional		$42.66	$57.54	$117.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $18.62 / $46.77	Professional	26	$12.02	$18.62	$46.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $39.81 / $89.13	Professional	TC	$28.84	$39.81	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $67.61 / $97.72	Professional		$44.67	$67.61	$97.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $19.95 / $29.51	Professional	26	$12.02	$19.95	$29.51
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $45.71 / $67.61	Professional	TC	$32.36	$45.71	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $120.23	Professional		$50.12	$70.79	$120.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $22.39 / $38.02	Professional	26	$14.79	$22.39	$38.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $51.29 / $85.11	Professional	TC	$33.11	$51.29	$85.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $154.88	Professional		$61.66	$81.28	$154.88
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $22.91 / $42.66	Professional	26	$18.20	$22.91	$42.66
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $54.95 / $104.71	Professional	TC	$43.65	$54.95	$104.71
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $17.78 / $17.78 / $18.62	Facility	26	$17.78	$17.78	$18.62
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $131.83	Professional		$47.86	$69.18	$131.83
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $21.88 / $42.66	Professional	26	$14.13	$21.88	$42.66
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $48.98 / $91.20	Professional	TC	$33.88	$48.98	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $67.61 / $131.83	Professional		$47.86	$67.61	$131.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $22.91 / $40.74	Professional	26	$16.22	$22.91	$40.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $46.77 / $83.18	Professional	TC	$33.11	$46.77	$83.18