Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.18 / $18.32 / $20.73	Facility	26	$18.18	$18.32	$20.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.75 / $68.28 / $127.18	Professional		$56.75	$68.28	$127.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.36 / $16.32 / $24.48	Professional	26	$14.36	$16.32	$24.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.39 / $50.05 / $95.92	Professional	TC	$42.39	$50.05	$95.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $89.93 / $134.16	Professional		$68.25	$89.93	$134.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.56 / $20.54 / $28.61	Professional	26	$14.56	$20.54	$28.61
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $68.58 / $105.55	Professional	TC	$53.70	$68.58	$105.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $92.33 / $156.87	Professional		$72.48	$92.33	$156.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.39 / $24.21 / $35.08	Professional	26	$17.39	$24.21	$35.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.60 / $72.72 / $123.55	Professional	TC	$49.60	$72.72	$123.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $86.97 / $104.67 / $188.79	Professional		$86.97	$104.67	$188.79
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $18.55 / $22.32 / $40.27	Professional	26	$18.55	$22.32	$40.27
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $68.43 / $82.34 / $148.55	Professional	TC	$68.43	$82.34	$148.55
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $18.18 / $18.32 / $20.73	Facility	26	$18.18	$18.32	$20.73
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $56.75 / $79.48 / $137.52	Professional		$56.75	$79.48	$137.52
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $14.36 / $18.32 / $33.09	Professional	26	$14.36	$18.32	$33.09
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $42.39 / $58.80 / $105.72	Professional	TC	$42.39	$58.80	$105.72
United Facility/Professional Professional Modifier Low / Median / High Price $66.65 / $84.29 / $159.29	Professional		$66.65	$84.29	$159.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.93 / $22.95 / $38.17	Professional	26	$15.93	$22.95	$38.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.34 / $65.20 / $121.12	Professional	TC	$47.34	$65.20	$121.12