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 / $21.48	Facility	26	$18.05	$18.05	$21.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.64 / $51.94 / $88.57	Professional		$43.64	$51.94	$88.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $15.40 / $25.06	Professional	26	$13.58	$15.40	$25.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.03 / $36.71 / $60.00	Professional	TC	$30.03	$36.71	$60.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.52 / $66.03 / $95.37	Professional		$48.52	$66.03	$95.37
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.88 / $20.54 / $28.61	Professional	26	$14.88	$20.54	$28.61
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.64 / $44.90 / $66.76	Professional	TC	$33.64	$44.90	$66.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $68.31 / $111.36	Professional		$47.10	$68.31	$111.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.15 / $24.24 / $35.35	Professional	26	$15.15	$24.24	$35.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.62 / $45.78 / $77.78	Professional	TC	$30.62	$45.78	$77.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $61.83 / $71.54 / $134.22	Professional		$61.83	$71.54	$134.22
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $18.96 / $22.24 / $41.16	Professional	26	$18.96	$22.24	$41.16
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $42.87 / $51.59 / $93.06	Professional	TC	$42.87	$51.59	$93.06
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $18.05 / $18.61 / $21.48	Facility	26	$18.05	$18.61	$21.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $43.64 / $55.05 / $98.72	Professional		$43.64	$55.05	$98.72
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $18.05 / $33.86	Professional	26	$13.58	$18.05	$33.86
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $30.03 / $37.43 / $66.16	Professional	TC	$30.03	$37.43	$66.16
United Facility/Professional Professional Modifier Low / Median / High Price $48.53 / $62.71 / $114.04	Professional		$48.53	$62.71	$114.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.73 / $23.00 / $40.17	Professional	26	$15.73	$23.00	$40.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.14 / $39.88 / $76.43	Professional	TC	$30.14	$39.88	$76.43