Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $16.98 / $16.98	Facility	26	$16.98	$16.98	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $44.67 / $93.33	Professional		$30.90	$44.67	$93.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $14.13 / $30.90	Professional	26	$10.00	$14.13	$30.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $31.62 / $69.18	Professional	TC	$20.42	$31.62	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $56.23 / $81.28	Professional		$38.90	$56.23	$81.28
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $15.85 / $23.44	Professional	26	$10.72	$15.85	$23.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $38.02 / $54.95	Professional	TC	$27.54	$38.02	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.23 / $97.72	Professional		$39.81	$56.23	$97.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $17.38 / $30.90	Professional	26	$14.45	$17.38	$30.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $37.15 / $70.79	Professional	TC	$26.30	$37.15	$70.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $134.90	Professional		$50.12	$72.44	$134.90
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $19.50 / $36.31	Professional	26	$15.49	$19.50	$36.31
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $47.86 / $91.20	Professional	TC	$38.02	$47.86	$91.20
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $16.98 / $16.98	Facility	26	$16.98	$16.98	$16.98
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $52.48 / $107.15	Professional		$37.15	$52.48	$107.15
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $16.98 / $31.62	Professional	26	$11.75	$16.98	$31.62
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $38.90 / $72.44	Professional	TC	$25.12	$38.90	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $56.23 / $107.15	Professional		$38.90	$56.23	$107.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $18.62 / $34.67	Professional	26	$13.18	$18.62	$34.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $38.90 / $70.79	Professional	TC	$25.70	$38.90	$70.79