Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.16 / $9.16 / $9.16	Facility	26	$9.16	$9.16	$9.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $25.60 / $42.52	Professional		$21.53	$25.60	$42.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $7.65 / $11.89	Professional	26	$6.74	$7.65	$11.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.78 / $17.89 / $28.72	Professional	TC	$14.78	$17.89	$28.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $32.20 / $46.41	Professional		$23.61	$32.20	$46.41
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.44 / $10.50 / $14.63	Professional	26	$7.44	$10.50	$14.63
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.17 / $21.59 / $31.78	Professional	TC	$16.17	$21.59	$31.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.31 / $33.21 / $54.29	Professional		$23.31	$33.21	$54.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.19 / $12.27 / $17.93	Professional	26	$7.19	$12.27	$17.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.64 / $23.38 / $37.26	Professional	TC	$15.64	$23.38	$37.26
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $20.61 / $30.39 / $65.31	Professional		$20.61	$30.39	$65.31
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.48 / $11.41 / $20.58	Professional	26	$9.48	$11.41	$20.58
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $23.85 / $32.07 / $47.54	Professional	TC	$23.85	$32.07	$47.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $27.25 / $46.02	Professional		$21.53	$27.25	$46.02
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.02 / $9.16 / $14.33	Professional	26	$7.02	$9.16	$14.33
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $14.78 / $18.09 / $31.09	Professional	TC	$14.78	$18.09	$31.09
United Facility/Professional Professional Modifier Low / Median / High Price $22.67 / $30.93 / $56.73	Professional		$22.67	$30.93	$56.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.30 / $10.98 / $19.07	Professional	26	$8.30	$10.98	$19.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $20.11 / $37.88	Professional	TC	$16.22	$20.11	$37.88