Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.77 / $10.77 / $12.47	Facility	26	$10.77	$10.77	$12.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $38.52 / $51.34	Professional		$29.98	$38.52	$51.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.24 / $10.48 / $14.07	Professional	26	$9.24	$10.48	$14.07
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.68 / $17.68 / $19.44	Professional	52	$13.68	$17.68	$19.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.74 / $25.77 / $34.51	Professional	TC	$20.74	$25.77	$34.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.14 / $38.83 / $55.31	Professional		$28.14	$38.83	$55.31
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.73 / $12.33 / $17.17	Professional	26	$8.73	$12.33	$17.17
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.41 / $26.48 / $38.14	Professional	TC	$19.41	$26.48	$38.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.45 / $45.84 / $66.64	Professional		$34.45	$45.84	$66.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.84 / $14.87 / $21.10	Professional	26	$9.84	$14.87	$21.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.72 / $30.98 / $45.54	Professional	TC	$22.72	$30.98	$45.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $43.16 / $77.84	Professional		$35.86	$43.16	$77.84
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.13 / $13.06 / $25.67	Professional	26	$11.13	$13.06	$25.67
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $24.73 / $29.77 / $53.68	Professional	TC	$24.73	$29.77	$53.68
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $12.47 / $12.47 / $12.47	Facility	26	$12.47	$12.47	$12.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $38.88 / $66.81	Professional		$34.52	$38.88	$66.81
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $9.44 / $10.80 / $22.65	Professional	26	$9.44	$10.80	$22.65
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $13.68 / $17.68 / $24.08	Professional	52	$13.68	$17.68	$24.08
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $24.33 / $28.16 / $48.92	Professional	TC	$24.33	$28.16	$48.92
United Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $52.69 / $78.58	Professional		$31.76	$52.69	$78.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.74 / $15.01 / $22.45	Professional	26	$9.74	$15.01	$22.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $33.15 / $54.60	Professional	TC	$19.95	$33.15	$54.60