Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.12 / $9.12 / $9.12	Facility	26	$9.12	$9.12	$9.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.12 / $54.95	Professional		$16.98	$25.12	$54.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.71 / $19.05	Professional	26	$6.03	$8.71	$19.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $16.98 / $37.15	Professional	TC	$10.96	$16.98	$37.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $31.62 / $45.71	Professional		$20.89	$31.62	$45.71
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $10.00 / $14.79	Professional	26	$6.31	$10.00	$14.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $21.38 / $30.90	Professional	TC	$14.79	$21.38	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.11 / $54.95	Professional		$22.91	$33.11	$54.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $10.96 / $19.05	Professional	26	$7.24	$10.96	$19.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $22.39 / $38.02	Professional	TC	$15.14	$22.39	$38.02
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $67.61	Professional		$28.18	$36.31	$67.61
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $11.48 / $21.88	Professional	26	$9.33	$11.48	$21.88
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $24.55 / $47.86	Professional	TC	$19.50	$24.55	$47.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $31.62 / $63.10	Professional		$21.88	$31.62	$63.10
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.47 / $20.89	Professional	26	$7.08	$10.47	$20.89
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $20.42 / $40.74	Professional	TC	$14.45	$20.42	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $31.62 / $63.10	Professional		$22.91	$31.62	$63.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.96 / $20.42	Professional	26	$7.94	$10.96	$20.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $20.89 / $38.02	Professional	TC	$15.49	$20.89	$38.02