Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.40 / $12.40 / $13.86	Facility	26	$12.40	$12.40	$13.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.92 / $38.59 / $61.61	Professional		$32.92	$38.59	$61.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $11.11 / $15.58	Professional	26	$10.02	$11.11	$15.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.87 / $26.08 / $42.63	Professional	TC	$22.87	$26.08	$42.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.64 / $47.08 / $66.13	Professional		$33.64	$47.08	$66.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.69 / $13.70 / $19.07	Professional	26	$9.69	$13.70	$19.07
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.94 / $31.95 / $47.04	Professional	TC	$23.94	$31.95	$47.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $50.34 / $77.56	Professional		$35.00	$50.34	$77.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $16.54 / $23.48	Professional	26	$10.23	$16.54	$23.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.18 / $34.72 / $55.27	Professional	TC	$24.18	$34.72	$55.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $49.60 / $93.06	Professional		$26.85	$49.60	$93.06
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $12.37 / $14.88 / $26.85	Professional	26	$12.37	$14.88	$26.85
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $30.50 / $36.54 / $70.34	Professional	TC	$30.50	$36.54	$70.34
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $13.86 / $13.86 / $13.86	Facility	26	$13.86	$13.86	$13.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $32.92 / $39.13 / $65.77	Professional		$32.92	$39.13	$65.77
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $12.40 / $18.75	Professional	26	$10.02	$12.40	$18.75
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $22.87 / $28.02 / $46.22	Professional	TC	$22.87	$28.02	$46.22
United Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $43.15 / $80.31	Professional		$34.65	$43.15	$80.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.19 / $15.57 / $27.56	Professional	26	$11.19	$15.57	$27.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.37 / $28.15 / $54.51	Professional	TC	$23.37	$28.15	$54.51