Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.22 / $16.22 / $16.22	Facility	26	$16.22	$16.22	$16.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $46.77 / $95.50	Professional		$30.90	$46.77	$95.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.02 / $29.51	Professional	26	$7.94	$12.02	$29.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $33.88 / $75.86	Professional	TC	$21.88	$33.88	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $57.54 / $83.18	Professional		$38.02	$57.54	$83.18
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $15.14 / $21.88	Professional	26	$9.33	$15.14	$21.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $40.74 / $58.88	Professional	TC	$28.84	$40.74	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $61.66 / $102.33	Professional		$43.65	$61.66	$102.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $16.22 / $29.51	Professional	26	$10.23	$16.22	$29.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $46.77 / $75.86	Professional	TC	$29.51	$46.77	$75.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $66.07 / $125.89	Professional		$51.29	$66.07	$125.89
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $16.98 / $32.36	Professional	26	$13.80	$16.98	$32.36
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $48.98 / $97.72	Professional	TC	$39.81	$48.98	$97.72
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $16.22 / $16.22 / $16.22	Facility	26	$16.22	$16.22	$16.22
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $60.26 / $112.20	Professional		$38.90	$60.26	$112.20
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $16.60 / $31.62	Professional	26	$10.00	$16.60	$31.62
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $44.67 / $83.18	Professional	TC	$30.20	$44.67	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $112.20	Professional		$40.74	$58.88	$112.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $15.49 / $30.20	Professional	26	$12.30	$15.49	$30.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $41.69 / $75.86	Professional	TC	$29.51	$41.69	$75.86