Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.92 / $17.92 / $17.92	Facility	26	$17.92	$17.92	$17.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $19.35 / $71.70	Professional		$12.95	$19.35	$71.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.70 / $7.98 / $22.96	Professional	26	$6.70	$7.98	$22.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.11 / $12.35 / $48.42	Professional	TC	$10.11	$12.35	$48.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $46.05 / $67.38	Professional		$41.11	$46.05	$67.38
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.56 / $18.22 / $24.32	Professional	26	$14.56	$18.22	$24.32
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.10 / $28.93 / $43.87	Professional	TC	$23.10	$28.93	$43.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $53.02 / $90.08	Professional		$22.30	$53.02	$90.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.19 / $19.55 / $33.32	Professional	26	$8.19	$19.55	$33.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.80 / $33.40 / $56.77	Professional	TC	$12.80	$33.40	$56.77
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 Professional Modifier Low / Median / High Price $17.14 / $48.57 / $75.48	Professional		$17.14	$48.57	$75.48
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $17.92 / $25.88	Professional	26	$7.03	$17.92	$25.88
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $11.36 / $30.64 / $53.39	Professional	TC	$11.36	$30.64	$53.39
United Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $37.11 / $101.10	Professional		$22.79	$37.11	$101.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.10 / $13.88 / $37.31	Professional	26	$11.10	$13.88	$37.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.29 / $19.46 / $63.79	Professional	TC	$11.29	$19.46	$63.79