Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $15.49 / $18.20	Facility	26	$15.14	$15.49	$18.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $70.79 / $158.49	Professional		$47.86	$70.79	$158.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $16.98 / $43.65	Professional	26	$12.02	$16.98	$43.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $47.86 / $93.33	Professional	TC	$32.36	$47.86	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $69.18 / $97.72	Professional		$45.71	$69.18	$97.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $16.98 / $25.70	Professional	26	$10.47	$16.98	$25.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $51.29 / $70.79	Professional	TC	$34.67	$51.29	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $123.03	Professional		$50.12	$72.44	$123.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $20.89 / $32.36	Professional	26	$14.45	$20.89	$32.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $52.48 / $93.33	Professional	TC	$35.48	$52.48	$93.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $165.96	Professional		$64.57	$89.13	$165.96
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $19.95 / $37.15	Professional	26	$15.85	$19.95	$37.15
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $64.57 / $120.23	Professional	TC	$51.29	$64.57	$120.23
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $15.49 / $18.20	Facility	26	$15.14	$15.49	$18.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $131.83	Professional		$50.12	$72.44	$131.83
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $18.62 / $40.74	Professional	26	$12.88	$18.62	$40.74
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $53.70 / $102.33	Professional	TC	$33.88	$53.70	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $131.83	Professional		$47.86	$69.18	$131.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $21.88 / $34.67	Professional	26	$14.13	$21.88	$34.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $50.12 / $93.33	Professional	TC	$34.67	$50.12	$93.33