Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.37 / $17.37 / $20.57	Facility	26	$17.37	$17.37	$20.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $71.53 / $85.85	Professional		$37.88	$71.53	$85.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.32 / $23.12	Professional	26	$7.33	$8.32	$23.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.83 / $63.35 / $73.86	Professional	TC	$29.83	$63.35	$73.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.37 / $58.47 / $81.39	Professional		$43.37	$58.47	$81.39
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.75 / $20.45 / $25.95	Professional	26	$14.75	$20.45	$25.95
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.31 / $37.90 / $53.40	Professional	TC	$27.31	$37.90	$53.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.80 / $78.45 / $115.75	Professional		$52.80	$78.45	$115.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.18 / $19.29 / $34.53	Professional	26	$9.18	$19.29	$34.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.53 / $54.79 / $96.08	Professional	TC	$34.53	$54.79	$96.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $53.17 / $63.99 / $115.42	Professional		$53.17	$63.99	$115.42
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $18.55 / $22.32 / $40.27	Professional	26	$18.55	$22.32	$40.27
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $34.61 / $41.67 / $75.15	Professional	TC	$34.61	$41.67	$75.15
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $17.37 / $18.04 / $20.57	Facility	26	$17.37	$18.04	$20.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $47.21 / $70.68 / $103.91	Professional		$47.21	$70.68	$103.91
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $17.37 / $27.82	Professional	26	$7.33	$17.37	$27.82
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $29.82 / $52.52 / $77.70	Professional	TC	$29.82	$52.52	$77.70
United Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $63.68 / $108.48	Professional		$39.36	$63.68	$108.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.93 / $15.16 / $36.19	Professional	26	$11.93	$15.16	$36.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.71 / $51.33 / $66.33	Professional	TC	$26.71	$51.33	$66.33