Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.97 / $9.97 / $9.97	Facility	26	$9.97	$9.97	$9.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $30.13 / $56.77	Professional		$22.13	$30.13	$56.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.64 / $8.18 / $12.99	Professional	26	$6.64	$8.18	$12.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.58 / $22.05 / $43.78	Professional	TC	$15.58	$22.05	$43.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.67 / $44.02 / $63.59	Professional		$32.67	$44.02	$63.59
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.09 / $10.96 / $15.26	Professional	26	$8.09	$10.96	$15.26
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.58 / $32.81 / $48.32	Professional	TC	$24.58	$32.81	$48.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $45.00 / $73.05	Professional		$31.29	$45.00	$73.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $13.19 / $18.73	Professional	26	$8.32	$13.19	$18.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.76 / $32.53 / $55.27	Professional	TC	$21.76	$32.53	$55.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $48.17 / $90.37	Professional		$31.33	$48.17	$90.37
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.31 / $12.40 / $22.38	Professional	26	$10.31	$12.40	$22.38
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $36.25 / $48.75 / $72.26	Professional	TC	$36.25	$48.75	$72.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $36.15 / $63.90	Professional		$26.78	$36.15	$63.90
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $9.97 / $15.59	Professional	26	$7.33	$9.97	$15.59
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $19.46 / $26.19 / $48.28	Professional	TC	$19.46	$26.19	$48.28
United Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $40.13 / $75.29	Professional		$30.35	$40.13	$75.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.67 / $12.50 / $20.78	Professional	26	$8.67	$12.50	$20.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.26 / $28.15 / $58.21	Professional	TC	$21.26	$28.15	$58.21