Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.57 / $9.57 / $9.57	Facility	26	$9.57	$9.57	$9.57
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.35 / $81.22 / $87.81	Facility	TC	$23.35	$81.22	$87.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.17 / $28.50 / $49.89	Professional		$25.17	$28.50	$49.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.15 / $8.19 / $12.48	Professional	26	$7.15	$8.19	$12.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.60 / $19.98 / $37.40	Professional	TC	$15.60	$19.98	$37.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $38.74 / $55.94	Professional		$28.79	$38.74	$55.94
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $10.80 / $15.26	Professional	26	$7.76	$10.80	$15.26
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.03 / $27.51 / $40.68	Professional	TC	$21.03	$27.51	$40.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $40.79 / $68.22	Professional		$28.75	$40.79	$68.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.07 / $12.64 / $18.72	Professional	26	$9.07	$12.64	$18.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.20 / $29.83 / $49.49	Professional	TC	$20.20	$29.83	$49.49
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $42.45 / $79.65	Professional		$36.69	$42.45	$79.65
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.89 / $11.90 / $21.47	Professional	26	$9.89	$11.90	$21.47
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $26.79 / $32.68 / $61.79	Professional	TC	$26.79	$32.68	$61.79
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $79.31 / $81.22 / $87.81	Facility	TC	$79.31	$81.22	$87.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.17 / $32.92 / $61.30	Professional		$25.17	$32.92	$61.30
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.50 / $8.91 / $17.62	Professional	26	$7.50	$8.91	$17.62
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $17.67 / $23.35 / $41.75	Professional	TC	$17.67	$23.35	$41.75
United Facility/Professional Professional Modifier Low / Median / High Price $29.59 / $39.11 / $73.18	Professional		$29.59	$39.11	$73.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $13.22 / $21.26	Professional	26	$8.66	$13.22	$21.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.93 / $26.79 / $51.92	Professional	TC	$20.93	$26.79	$51.92