Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.80 / $12.80 / $12.80	Facility	26	$12.80	$12.80	$12.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $40.40 / $73.45	Professional		$28.19	$40.40	$73.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $10.68 / $16.09	Professional	26	$8.52	$10.68	$16.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.66 / $29.94 / $57.56	Professional	TC	$19.66	$29.94	$57.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $54.58 / $78.84	Professional		$39.79	$54.58	$78.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.17 / $14.16 / $19.71	Professional	26	$10.17	$14.16	$19.71
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.76 / $39.72 / $59.13	Professional	TC	$29.76	$39.72	$59.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.35 / $56.24 / $92.57	Professional		$38.35	$56.24	$92.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $17.10 / $24.27	Professional	26	$10.23	$17.10	$24.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.38 / $40.92 / $69.52	Professional	TC	$27.38	$40.92	$69.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $50.70 / $61.01 / $110.06	Professional		$50.70	$61.01	$110.06
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $12.78 / $15.38 / $27.74	Professional	26	$12.78	$15.38	$27.74
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $37.92 / $45.63 / $82.32	Professional	TC	$37.92	$45.63	$82.32
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $37.67 / $48.94 / $86.99	Professional		$37.67	$48.94	$86.99
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $9.98 / $12.80 / $26.07	Professional	26	$9.98	$12.80	$26.07
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $27.39 / $37.42 / $64.06	Professional	TC	$27.39	$37.42	$64.06
United Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $50.70 / $93.82	Professional		$40.42	$50.70	$93.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.55 / $16.04 / $26.65	Professional	26	$11.55	$16.04	$26.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.19 / $34.57 / $67.17	Professional	TC	$26.19	$34.57	$67.17