Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.38 / $10.38 / $10.38	Facility	26	$10.38	$10.38	$10.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.66 / $30.92 / $42.03	Professional		$24.66	$30.92	$42.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $8.89 / $13.55	Professional	26	$7.95	$8.89	$13.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.32 / $20.92 / $28.57	Professional	TC	$16.32	$20.92	$28.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.29 / $32.42 / $45.78	Professional		$23.29	$32.42	$45.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $11.88 / $16.52	Professional	26	$8.41	$11.88	$16.52
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $34.93 / $48.64 / $68.68	Professional	50	$34.93	$48.64	$68.68
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.88 / $20.54 / $29.24	Professional	TC	$14.88	$20.54	$29.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.11 / $38.04 / $55.58	Professional		$28.11	$38.04	$55.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $13.90 / $20.30	Professional	26	$8.32	$13.90	$20.30
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $47.09 / $47.09 / $47.09	Professional	50	$47.09	$47.09	$47.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.42 / $23.74 / $35.28	Professional	TC	$17.42	$23.74	$35.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $23.27 / $34.34 / $64.43	Professional		$23.27	$34.34	$64.43
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $12.40 / $24.73	Professional	26	$10.72	$12.40	$24.73
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $18.96 / $22.72 / $43.73	Professional	TC	$18.96	$22.72	$43.73
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $27.41 / $31.53 / $57.71	Professional		$27.41	$31.53	$57.71
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $10.38 / $19.09	Professional	26	$7.95	$10.38	$19.09
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $18.60 / $22.05 / $37.90	Professional	TC	$18.60	$22.05	$37.90
United Facility/Professional Professional Modifier Low / Median / High Price $28.15 / $40.47 / $65.17	Professional		$28.15	$40.47	$65.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $12.98 / $23.09	Professional	26	$10.11	$12.98	$23.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $27.49 / $43.55	Professional	TC	$16.98	$27.49	$43.55