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 / $18.05	Facility	26	$18.05	$18.05	$18.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.11 / $61.46 / $68.73	Professional		$29.11	$61.46	$68.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.23 / $15.11 / $23.21	Professional	26	$12.23	$15.11	$23.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.04 / $45.52 / $50.96	Professional	TC	$17.04	$45.52	$50.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $55.01 / $78.84	Professional		$40.11	$55.01	$78.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.56 / $20.10 / $28.61	Professional	26	$14.56	$20.10	$28.61
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.55 / $34.11 / $50.23	Professional	TC	$25.55	$34.11	$50.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.77 / $69.18 / $95.12	Professional		$49.77	$69.18	$95.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.51 / $24.24 / $34.56	Professional	26	$15.51	$24.24	$34.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.46 / $48.17 / $63.04	Professional	TC	$30.46	$48.17	$63.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $40.27 / $59.13 / $110.95	Professional		$40.27	$59.13	$110.95
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $18.55 / $21.76 / $42.79	Professional	26	$18.55	$21.76	$42.79
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $32.56 / $39.19 / $70.68	Professional	TC	$32.56	$39.19	$70.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $63.43 / $83.94	Professional		$45.46	$63.43	$83.94
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $18.05 / $33.15	Professional	26	$13.58	$18.05	$33.15
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $27.39 / $46.35 / $51.77	Professional	TC	$27.39	$46.35	$51.77
United Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $53.08 / $101.07	Professional		$40.78	$53.08	$101.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.23 / $23.00 / $40.15	Professional	26	$16.23	$23.00	$40.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.54 / $30.24 / $60.91	Professional	TC	$24.54	$30.24	$60.91