Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.21 / $16.21 / $16.21	Facility	26	$16.21	$16.21	$16.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $46.65 / $75.30	Professional		$38.49	$46.65	$75.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $10.68 / $18.19	Professional	26	$9.41	$10.68	$18.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.72 / $34.70 / $61.20	Professional	TC	$29.72	$34.70	$61.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.34 / $58.99 / $85.21	Professional		$43.34	$58.99	$85.21
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.32 / $15.36 / $22.25	Professional	26	$11.32	$15.36	$22.25
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.02 / $42.74 / $62.94	Professional	TC	$32.02	$42.74	$62.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.02 / $61.84 / $99.33	Professional		$44.02	$61.84	$99.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.80 / $17.85 / $27.43	Professional	26	$10.80	$17.85	$27.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.79 / $46.99 / $73.80	Professional	TC	$33.79	$46.99	$73.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $55.23 / $63.90 / $119.89	Professional		$55.23	$63.90	$119.89
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $14.43 / $16.93 / $33.28	Professional	26	$14.43	$16.93	$33.28
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $40.81 / $47.88 / $94.13	Professional	TC	$40.81	$47.88	$94.13
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $16.21 / $16.21 / $16.21	Facility	26	$16.21	$16.21	$16.21
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $49.57 / $94.89	Professional		$40.39	$49.57	$94.89
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $14.01 / $25.90	Professional	26	$9.41	$14.01	$25.90
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $30.98 / $38.07 / $68.95	Professional	TC	$30.98	$38.07	$68.95
United Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $55.32 / $108.29	Professional		$40.36	$55.32	$108.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.63 / $15.57 / $29.19	Professional	26	$12.63	$15.57	$29.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.04 / $42.01 / $77.12	Professional	TC	$31.04	$42.01	$77.12