Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.25 / $7.54 / $8.72	Facility	26	$7.25	$7.54	$8.72
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.16 / $85.00 / $335.53	Facility	TC	$24.16	$85.00	$335.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $31.71 / $52.74	Professional		$25.30	$31.71	$52.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.53 / $6.43 / $9.81	Professional	26	$5.53	$6.43	$9.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.01 / $24.16 / $39.15	Professional	TC	$21.01	$24.16	$39.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.25 / $39.74 / $55.94	Professional		$28.25	$39.74	$55.94
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.15 / $8.69 / $12.07	Professional	26	$6.15	$8.69	$12.07
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.11 / $30.72 / $43.87	Professional	TC	$22.11	$30.72	$43.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.65 / $40.47 / $64.79	Professional		$26.65	$40.47	$64.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.06 / $10.11 / $14.77	Professional	26	$6.06	$10.11	$14.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.10 / $31.24 / $50.76	Professional	TC	$19.10	$31.24	$50.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $44.01 / $82.71	Professional		$35.86	$44.01	$82.71
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $7.83 / $9.42 / $17.00	Professional	26	$7.83	$9.42	$17.00
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $28.03 / $33.72 / $60.85	Professional	TC	$28.03	$33.72	$60.85
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $7.25 / $7.54 / $35.11	Facility	26	$7.25	$7.54	$35.11
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $26.00 / $85.00 / $335.53	Facility	TC	$26.00	$85.00	$335.53
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $34.24 / $61.25	Professional		$26.55	$34.24	$61.25
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $5.53 / $7.55 / $13.93	Professional	26	$5.53	$7.55	$13.93
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $21.01 / $26.45 / $46.41	Professional	TC	$21.01	$26.45	$46.41
United Facility/Professional Professional Modifier Low / Median / High Price $26.19 / $39.22 / $66.01	Professional		$26.19	$39.22	$66.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.86 / $9.47 / $15.72	Professional	26	$6.86	$9.47	$15.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.65 / $30.23 / $50.29	Professional	TC	$21.65	$30.23	$50.29