Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.80 / $12.80 / $14.97	Facility	26	$12.80	$12.80	$14.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.76 / $52.17 / $72.81	Professional		$42.76	$52.17	$72.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $11.11 / $16.66	Professional	26	$10.02	$11.11	$16.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.77 / $38.72 / $51.90	Professional	TC	$31.77	$38.72	$51.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $55.72 / $77.56	Professional		$39.46	$55.72	$77.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $14.60 / $20.34	Professional	26	$10.35	$14.60	$20.34
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.11 / $41.11 / $57.22	Professional	TC	$29.11	$41.11	$57.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $64.38 / $95.35	Professional		$45.79	$64.38	$95.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $17.14 / $25.06	Professional	26	$10.23	$17.14	$25.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.10 / $48.23 / $70.81	Professional	TC	$33.10	$48.23	$70.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $50.29 / $60.51 / $109.17	Professional		$50.29	$60.51	$109.17
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $13.19 / $15.88 / $28.63	Professional	26	$13.19	$15.88	$28.63
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $37.10 / $45.26 / $85.57	Professional	TC	$37.10	$45.26	$85.57
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $12.80 / $12.80 / $14.97	Facility	26	$12.80	$12.80	$14.97
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $44.65 / $53.33 / $88.93	Professional		$44.65	$53.33	$88.93
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $12.80 / $26.16	Professional	26	$10.02	$12.80	$26.16
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $31.85 / $41.42 / $62.74	Professional	TC	$31.85	$41.42	$62.74
United Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $56.85 / $92.98	Professional		$40.06	$56.85	$92.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.55 / $17.64 / $28.46	Professional	26	$11.55	$17.64	$28.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.51 / $40.89 / $70.84	Professional	TC	$28.51	$40.89	$70.84