Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $9.55 / $9.55	Facility	26	$9.55	$9.55	$9.55
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $81.28 / $83.18 / $87.10	Facility	TC	$81.28	$83.18	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.84 / $50.12	Professional		$20.89	$28.84	$50.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $7.94 / $23.44	Professional	26	$6.03	$7.94	$23.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $20.89 / $38.02	Professional	TC	$15.14	$20.89	$38.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.02 / $56.23	Professional		$26.92	$38.02	$56.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.47 / $15.14	Professional	26	$7.08	$10.47	$15.14
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $26.92 / $40.74	Professional	TC	$19.50	$26.92	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.02 / $67.61	Professional		$28.18	$38.02	$67.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $10.96 / $19.95	Professional	26	$9.12	$10.96	$19.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $27.54 / $48.98	Professional	TC	$19.05	$27.54	$48.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $83.18	Professional		$34.67	$44.67	$83.18
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $12.02 / $22.39	Professional	26	$9.77	$12.02	$22.39
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $33.88 / $64.57	Professional	TC	$26.30	$33.88	$64.57
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $81.28 / $83.18 / $87.10	Facility	TC	$81.28	$83.18	$87.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $34.67 / $79.43	Professional		$24.55	$34.67	$79.43
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.23 / $25.12	Professional	26	$7.08	$10.23	$25.12
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $25.70 / $54.95	Professional	TC	$17.78	$25.70	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.90 / $75.86	Professional		$27.54	$38.90	$75.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $12.02 / $21.88	Professional	26	$8.32	$12.02	$21.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $26.92 / $52.48	Professional	TC	$19.05	$26.92	$52.48