Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $13.18 / $14.79	Facility	26	$12.88	$13.18	$14.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $43.65 / $104.71	Professional		$30.20	$43.65	$104.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.59 / $28.18	Professional	26	$7.94	$12.59	$28.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $30.20 / $64.57	Professional	TC	$20.89	$30.20	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $51.29 / $74.13	Professional		$33.11	$51.29	$74.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $13.80 / $19.95	Professional	26	$8.51	$13.80	$19.95
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $35.48 / $51.29	Professional	TC	$24.55	$35.48	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $51.29 / $89.13	Professional		$33.88	$51.29	$89.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $14.45 / $26.92	Professional	26	$9.12	$14.45	$26.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $36.31 / $66.07	Professional	TC	$24.55	$36.31	$66.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $60.26 / $117.49	Professional		$45.71	$60.26	$117.49
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $15.85 / $29.51	Professional	26	$12.59	$15.85	$29.51
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $42.66 / $85.11	Professional	TC	$34.67	$42.66	$85.11
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $13.18 / $14.79	Facility	26	$12.88	$13.18	$14.79
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $51.29 / $97.72	Professional		$32.36	$51.29	$97.72
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.79 / $27.54	Professional	26	$8.91	$14.79	$27.54
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $36.31 / $72.44	Professional	TC	$25.12	$36.31	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $48.98 / $97.72	Professional		$35.48	$48.98	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $14.13 / $26.30	Professional	26	$11.48	$14.13	$26.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $35.48 / $63.10	Professional	TC	$25.12	$35.48	$63.10