Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.01 / $13.21 / $14.81	Facility	26	$13.01	$13.21	$14.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $37.54 / $66.17	Professional		$29.94	$37.54	$66.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.22 / $9.33 / $16.60	Professional	26	$8.22	$9.33	$16.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.19 / $27.87 / $49.57	Professional	TC	$23.19	$27.87	$49.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $51.94 / $75.03	Professional		$38.17	$51.94	$75.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $13.82 / $20.34	Professional	26	$10.35	$13.82	$20.34
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.82 / $37.13 / $54.68	Professional	TC	$27.82	$37.13	$54.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.18 / $52.00 / $87.32	Professional		$36.18	$52.00	$87.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.63 / $15.61 / $25.06	Professional	26	$9.63	$15.61	$25.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.01 / $37.39 / $63.52	Professional	TC	$25.01	$37.39	$63.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $48.64 / $58.53 / $105.59	Professional		$48.64	$58.53	$105.59
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 $35.45 / $42.66 / $76.95	Professional	TC	$35.45	$42.66	$76.95
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $13.01 / $13.21 / $14.81	Facility	26	$13.01	$13.21	$14.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $31.42 / $43.04 / $74.70	Professional		$31.42	$43.04	$74.70
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $13.21 / $22.07	Professional	26	$8.36	$13.21	$22.07
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $23.19 / $29.83 / $54.67	Professional	TC	$23.19	$29.83	$54.67
United Facility/Professional Professional Modifier Low / Median / High Price $35.71 / $46.20 / $95.69	Professional		$35.71	$46.20	$95.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.49 / $13.79 / $27.49	Professional	26	$11.49	$13.79	$27.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.22 / $32.04 / $62.11	Professional	TC	$24.22	$32.04	$62.11