Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.05 / $18.05 / $20.73	Facility	26	$18.05	$18.05	$20.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.07 / $58.20 / $104.72	Professional		$49.07	$58.20	$104.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.36 / $16.00 / $23.29	Professional	26	$14.36	$16.00	$23.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.11 / $41.88 / $81.43	Professional	TC	$37.11	$41.88	$81.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $81.08 / $118.26	Professional		$60.16	$81.08	$118.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.56 / $20.10 / $28.61	Professional	26	$14.56	$20.10	$28.61
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.61 / $58.47 / $89.66	Professional	TC	$45.61	$58.47	$89.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.26 / $82.72 / $136.87	Professional		$65.26	$82.72	$136.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.39 / $24.19 / $34.56	Professional	26	$17.39	$24.19	$34.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.07 / $61.23 / $104.04	Professional	TC	$43.07	$61.23	$104.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $76.67 / $89.95 / $166.44	Professional		$76.67	$89.95	$166.44
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $18.55 / $22.32 / $40.27	Professional	26	$18.55	$22.32	$40.27
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $58.12 / $70.91 / $134.05	Professional	TC	$58.12	$70.91	$134.05
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $20.73 / $20.73 / $20.73	Facility	26	$20.73	$20.73	$20.73
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $66.93 / $117.81	Professional		$51.49	$66.93	$117.81
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $14.36 / $18.05 / $28.04	Professional	26	$14.36	$18.05	$28.04
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $37.11 / $48.87 / $88.45	Professional	TC	$37.11	$48.87	$88.45
United Facility/Professional Professional Modifier Low / Median / High Price $55.34 / $76.67 / $148.80	Professional		$55.34	$76.67	$148.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.23 / $22.95 / $40.15	Professional	26	$16.23	$22.95	$40.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.67 / $59.26 / $101.73	Professional	TC	$43.67	$59.26	$101.73