Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.00 / $10.00	Facility	26	$10.00	$10.00	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.11 / $75.86	Professional		$21.88	$33.11	$75.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.91 / $25.70	Professional	26	$6.03	$8.91	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $23.99 / $45.71	Professional	TC	$15.14	$23.99	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $43.65 / $61.66	Professional		$28.18	$43.65	$61.66
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $10.72 / $15.14	Professional	26	$6.61	$10.72	$15.14
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $31.62 / $44.67	Professional	TC	$21.88	$31.62	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $42.66 / $75.86	Professional		$28.18	$42.66	$75.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $12.02 / $19.95	Professional	26	$8.32	$12.02	$19.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $30.90 / $57.54	Professional	TC	$19.50	$30.90	$57.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $51.29 / $102.33	Professional		$40.74	$51.29	$102.33
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.59 / $23.99	Professional	26	$10.00	$12.59	$23.99
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $38.90 / $75.86	Professional	TC	$30.90	$38.90	$75.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $41.69 / $85.11	Professional		$28.84	$41.69	$85.11
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $11.75 / $25.70	Professional	26	$7.08	$11.75	$25.70
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $30.90 / $61.66	Professional	TC	$19.95	$30.90	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $83.18	Professional		$30.20	$42.66	$83.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $12.30 / $22.39	Professional	26	$8.71	$12.30	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $31.62 / $56.23	Professional	TC	$21.38	$31.62	$56.23