Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.41 / $14.41 / $17.75	Facility	26	$14.41	$14.41	$17.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $44.52 / $70.66	Professional		$37.92	$44.52	$70.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.75 / $11.13 / $18.76	Professional	26	$9.75	$11.13	$18.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.17 / $31.92 / $51.90	Professional	TC	$28.17	$31.92	$51.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $55.91 / $80.76	Professional		$40.76	$55.91	$80.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.64 / $15.54 / $22.88	Professional	26	$11.64	$15.54	$22.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.15 / $40.13 / $57.85	Professional	TC	$29.15	$40.13	$57.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.35 / $57.44 / $94.08	Professional		$40.35	$57.44	$94.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.08 / $18.00 / $28.22	Professional	26	$11.08	$18.00	$28.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.02 / $41.33 / $67.27	Professional	TC	$27.02	$41.33	$67.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $51.94 / $62.50 / $112.75	Professional		$51.94	$62.50	$112.75
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $14.84 / $17.86 / $32.21	Professional	26	$14.84	$17.86	$32.21
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $37.10 / $44.64 / $80.54	Professional	TC	$37.10	$44.64	$80.54
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $14.41 / $14.41 / $17.75	Facility	26	$14.41	$14.41	$17.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $45.88 / $79.79	Professional		$37.92	$45.88	$79.79
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $9.75 / $14.41 / $22.56	Professional	26	$9.75	$14.41	$22.56
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $28.17 / $34.53 / $58.86	Professional	TC	$28.17	$34.53	$58.86
United Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $56.94 / $101.99	Professional		$41.14	$56.94	$101.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.55 / $17.14 / $30.03	Professional	26	$12.55	$17.14	$30.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.52 / $38.34 / $65.47	Professional	TC	$25.52	$38.34	$65.47