Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.79 / $15.85 / $707.95	Facility	26	$14.79	$15.85	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $70.79 / $162.18	Professional		$47.86	$70.79	$162.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $16.22 / $41.69	Professional	26	$10.96	$16.22	$41.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $45.71 / $120.23	Professional	TC	$30.90	$45.71	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $67.61 / $97.72	Professional		$43.65	$67.61	$97.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $16.22 / $25.70	Professional	26	$10.00	$16.22	$25.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $48.98 / $69.18	Professional	TC	$33.88	$48.98	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $117.49	Professional		$51.29	$72.44	$117.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $19.95 / $32.36	Professional	26	$14.45	$19.95	$32.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $52.48 / $89.13	Professional	TC	$33.88	$52.48	$89.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $151.36	Professional		$64.57	$81.28	$151.36
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 $48.98 / $61.66 / $117.49	Professional	TC	$48.98	$61.66	$117.49
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $14.79 / $14.79 / $707.95	Facility	26	$14.79	$14.79	$707.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $134.90	Professional		$50.12	$70.79	$134.90
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $17.78 / $34.67	Professional	26	$12.02	$17.78	$34.67
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $51.29 / $97.72	Professional	TC	$36.31	$51.29	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $69.18 / $131.83	Professional		$46.77	$69.18	$131.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $21.38 / $33.11	Professional	26	$13.49	$21.38	$33.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $50.12 / $89.13	Professional	TC	$33.88	$50.12	$89.13