Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.80 / $13.80 / $13.80	Facility	26	$13.80	$13.80	$13.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $39.81 / $81.28	Professional		$28.18	$39.81	$81.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.96 / $33.11	Professional	26	$7.94	$10.96	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $25.70 / $52.48	Professional	TC	$17.38	$25.70	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $44.67 / $64.57	Professional		$29.51	$44.67	$64.57
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $12.88 / $19.05	Professional	26	$8.13	$12.88	$19.05
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.90 / $44.67	Professional	TC	$21.88	$30.90	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $48.98 / $79.43	Professional		$34.67	$48.98	$79.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $15.14 / $25.12	Professional	26	$10.23	$15.14	$25.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $33.88 / $56.23	Professional	TC	$22.91	$33.88	$56.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $56.23 / $107.15	Professional		$38.90	$56.23	$107.15
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $15.14 / $28.84	Professional	26	$12.02	$15.14	$28.84
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $38.02 / $70.79	Professional	TC	$30.20	$38.02	$70.79
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $13.80 / $13.80 / $13.80	Facility	26	$13.80	$13.80	$13.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $46.77 / $87.10	Professional		$33.11	$46.77	$87.10
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $14.13 / $29.51	Professional	26	$10.00	$14.13	$29.51
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $31.62 / $56.23	Professional	TC	$22.91	$31.62	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $45.71 / $91.20	Professional		$32.36	$45.71	$91.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $15.49 / $27.54	Professional	26	$10.72	$15.49	$27.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $31.62 / $58.88	Professional	TC	$22.39	$31.62	$58.88