Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.25 / $17.25 / $20.26	Facility	26	$17.25	$17.25	$20.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.22 / $75.26 / $105.38	Professional		$64.22	$75.26	$105.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.97 / $17.26 / $22.78	Professional	26	$14.97	$17.26	$22.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.83 / $57.34 / $87.82	Professional	TC	$36.83	$57.34	$87.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.52 / $81.26 / $116.99	Professional		$59.52	$81.26	$116.99
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.23 / $19.64 / $27.33	Professional	26	$14.23	$19.64	$27.33
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.29 / $60.45 / $89.66	Professional	TC	$45.29	$60.45	$89.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.12 / $100.00 / $145.66	Professional		$66.12	$100.00	$145.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.42 / $23.79 / $33.77	Professional	26	$17.42	$23.79	$33.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.70 / $68.45 / $111.90	Professional	TC	$48.70	$68.45	$111.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $91.27 / $164.63	Professional		$75.84	$91.27	$164.63
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $18.14 / $21.82 / $39.38	Professional	26	$18.14	$21.82	$39.38
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $57.71 / $69.44 / $125.28	Professional	TC	$57.71	$69.44	$125.28
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $17.25 / $17.77 / $20.26	Facility	26	$17.25	$17.77	$20.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $67.34 / $76.09 / $129.94	Professional		$67.34	$76.09	$129.94
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $16.17 / $18.44 / $32.34	Professional	26	$16.17	$18.44	$32.34
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $50.07 / $57.99 / $99.29	Professional	TC	$50.07	$57.99	$99.29
United Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $84.33 / $140.16	Professional		$60.27	$84.33	$140.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.52 / $23.48 / $38.35	Professional	26	$15.52	$23.48	$38.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.75 / $62.65 / $104.26	Professional	TC	$44.75	$62.65	$104.26