Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.06 / $15.64 / $18.10	Facility	26	$15.06	$15.64	$18.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.71 / $57.21 / $97.29	Professional		$47.71	$57.21	$97.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.45 / $15.07 / $20.35	Professional	26	$13.45	$15.07	$20.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.09 / $41.57 / $71.01	Professional	TC	$34.09	$41.57	$71.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $70.87 / $102.36	Professional		$52.40	$70.87	$102.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.62 / $17.82 / $24.16	Professional	26	$12.62	$17.82	$24.16
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.79 / $52.49 / $77.95	Professional	TC	$39.79	$52.49	$77.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.09 / $74.27 / $118.85	Professional		$51.09	$74.27	$118.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.40 / $21.56 / $30.60	Professional	26	$14.40	$21.56	$30.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.35 / $52.84 / $89.78	Professional	TC	$35.35	$52.84	$89.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $66.78 / $80.36 / $144.97	Professional		$66.78	$80.36	$144.97
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $16.07 / $19.34 / $34.90	Professional	26	$16.07	$19.34	$34.90
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $50.70 / $61.85 / $116.94	Professional	TC	$50.70	$61.85	$116.94
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $15.06 / $15.64 / $18.10	Facility	26	$15.06	$15.64	$18.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $53.11 / $64.64 / $102.76	Professional		$53.11	$64.64	$102.76
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $13.61 / $15.66 / $28.84	Professional	26	$13.61	$15.66	$28.84
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $38.18 / $46.98 / $78.29	Professional	TC	$38.18	$46.98	$78.29
United Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $61.50 / $119.10	Professional		$51.25	$61.50	$119.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.60 / $22.48 / $32.54	Professional	26	$13.60	$22.48	$32.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.49 / $42.45 / $86.55	Professional	TC	$34.49	$42.45	$86.55