Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $12.88 / $12.88	Facility	26	$12.88	$12.88	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $42.66 / $77.62	Professional		$28.18	$42.66	$77.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.72 / $28.84	Professional	26	$7.94	$10.72	$28.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $30.90 / $72.44	Professional	TC	$19.05	$30.90	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $53.70 / $77.62	Professional		$32.36	$53.70	$77.62
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $13.49 / $19.50	Professional	26	$10.23	$13.49	$19.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $38.02 / $54.95	Professional	TC	$22.91	$38.02	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $54.95 / $93.33	Professional		$36.31	$54.95	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $15.14 / $25.70	Professional	26	$10.23	$15.14	$25.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $39.81 / $70.79	Professional	TC	$26.30	$39.81	$70.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $63.10 / $117.49	Professional		$48.98	$63.10	$117.49
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $15.85 / $29.51	Professional	26	$12.59	$15.85	$29.51
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $46.77 / $93.33	Professional	TC	$37.15	$46.77	$93.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.86 / $112.20	Professional		$33.88	$47.86	$112.20
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $13.18 / $31.62	Professional	26	$8.91	$13.18	$31.62
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $36.31 / $91.20	Professional	TC	$24.55	$36.31	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $53.70 / $102.33	Professional		$37.15	$53.70	$102.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $15.85 / $28.18	Professional	26	$11.22	$15.85	$28.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $38.90 / $67.61	Professional	TC	$26.92	$38.90	$67.61