Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.25 / $17.25 / $19.80	Facility	26	$17.25	$17.25	$19.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.68 / $67.65 / $111.56	Professional		$60.68	$67.65	$111.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.61 / $17.25 / $22.34	Professional	26	$14.61	$17.25	$22.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.99 / $50.37 / $82.60	Professional	TC	$44.99	$50.37	$82.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $83.74 / $119.54	Professional		$60.29	$83.74	$119.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.91 / $19.18 / $27.33	Professional	26	$13.91	$19.18	$27.33
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.26 / $61.74 / $92.20	Professional	TC	$46.26	$61.74	$92.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.22 / $92.63 / $138.36	Professional		$62.22	$92.63	$138.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.42 / $23.24 / $32.97	Professional	26	$17.42	$23.24	$32.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.80 / $66.00 / $107.04	Professional	TC	$44.80	$66.00	$107.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $76.67 / $92.27 / $166.44	Professional		$76.67	$92.27	$166.44
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $17.72 / $21.33 / $38.47	Professional	26	$17.72	$21.33	$38.47
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $58.94 / $70.93 / $127.95	Professional	TC	$58.94	$70.93	$127.95
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $17.25 / $17.38 / $19.80	Facility	26	$17.25	$17.38	$19.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $60.68 / $73.43 / $124.65	Professional		$60.68	$73.43	$124.65
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $17.87 / $31.63	Professional	26	$15.71	$17.87	$31.63
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $44.99 / $55.17 / $91.06	Professional	TC	$44.99	$55.17	$91.06
United Facility/Professional Professional Modifier Low / Median / High Price $55.64 / $79.42 / $140.16	Professional		$55.64	$79.42	$140.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.01 / $25.88 / $33.65	Professional	26	$15.01	$25.88	$33.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.75 / $55.58 / $111.35	Professional	TC	$44.75	$55.58	$111.35