Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.21 / $13.21 / $15.46	Facility	26	$13.21	$13.21	$15.46
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.39 / $95.24 / $398.00	Facility	TC	$27.39	$95.24	$398.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.19 / $36.15 / $62.11	Professional		$30.19	$36.15	$62.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.31 / $11.80 / $18.04	Professional	26	$10.31	$11.80	$18.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.89 / $24.00 / $44.93	Professional	TC	$19.89	$24.00	$44.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $48.56 / $69.95	Professional		$35.90	$48.56	$69.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.67 / $15.07 / $20.34	Professional	26	$10.67	$15.07	$20.34
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.23 / $33.67 / $49.58	Professional	TC	$25.23	$33.67	$49.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.26 / $50.54 / $86.40	Professional		$35.26	$50.54	$86.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.50 / $17.45 / $25.85	Professional	26	$12.50	$17.45	$25.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.83 / $34.94 / $60.55	Professional	TC	$23.83	$34.94	$60.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $45.75 / $55.06 / $99.31	Professional		$45.75	$55.06	$99.31
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $13.60 / $16.37 / $29.52	Professional	26	$13.60	$16.37	$29.52
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $32.15 / $38.69 / $69.79	Professional	TC	$32.15	$38.69	$69.79
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $12.71 / $13.21 / $74.28	Facility	26	$12.71	$13.21	$74.28
Martin's Point Facility/Professional Facility Modifier TC Low / Median / High Price $27.39 / $97.54 / $398.00	Facility	TC	$27.39	$97.54	$398.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.28 / $41.82 / $70.23	Professional		$30.28	$41.82	$70.23
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $10.40 / $13.21 / $20.66	Professional	26	$10.40	$13.21	$20.66
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $19.92 / $29.83 / $51.63	Professional	TC	$19.92	$29.83	$51.63
United Facility/Professional Professional Modifier Low / Median / High Price $33.74 / $47.20 / $84.54	Professional		$33.74	$47.20	$84.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.91 / $16.55 / $27.49	Professional	26	$11.91	$16.55	$27.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.25 / $29.93 / $57.05	Professional	TC	$22.25	$29.93	$57.05