Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.63 / $18.46 / $18.46	Facility	26	$17.63	$18.46	$18.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.44 / $55.26 / $92.99	Professional		$45.44	$55.26	$92.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.51 / $15.11 / $23.80	Professional	26	$12.51	$15.11	$23.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.90 / $38.60 / $67.42	Professional	TC	$24.90	$38.60	$67.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.78 / $69.55 / $100.45	Professional		$50.78	$69.55	$100.45
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.88 / $20.54 / $29.24	Professional	26	$14.88	$20.54	$29.24
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.90 / $47.93 / $71.20	Professional	TC	$35.90	$47.93	$71.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $72.80 / $117.36	Professional		$50.00	$72.80	$117.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $24.76 / $35.35	Professional	26	$14.79	$24.76	$35.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.21 / $52.00 / $83.78	Professional	TC	$35.21	$52.00	$83.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $64.72 / $77.88 / $140.49	Professional		$64.72	$77.88	$140.49
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $18.96 / $22.82 / $41.16	Professional	26	$18.96	$22.82	$41.16
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $45.75 / $55.06 / $99.31	Professional	TC	$45.75	$55.06	$99.31
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $17.63 / $17.63 / $18.46	Facility	26	$17.63	$17.63	$18.46
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $47.68 / $58.30 / $111.22	Professional		$47.68	$58.30	$111.22
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $18.46 / $37.97	Professional	26	$13.58	$18.46	$37.97
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $34.09 / $41.79 / $77.36	Professional	TC	$34.09	$41.79	$77.36
United Facility/Professional Professional Modifier Low / Median / High Price $51.97 / $67.27 / $120.78	Professional		$51.97	$67.27	$120.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $23.48 / $38.45	Professional	26	$16.60	$23.48	$38.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.09 / $43.93 / $82.33	Professional	TC	$32.09	$43.93	$82.33