Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.78 / $20.89 / $20.89	Facility	26	$17.78	$20.89	$20.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $39.81 / $75.86	Professional		$12.59	$39.81	$75.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $15.14 / $33.88	Professional	26	$6.92	$15.14	$33.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.61 / $25.12 / $44.67	Professional	TC	$6.61	$25.12	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $51.29 / $70.79	Professional		$12.30	$51.29	$70.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $18.62 / $28.18	Professional	26	$5.89	$18.62	$28.18
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $6.46 / $31.62 / $45.71	Professional	TC	$6.46	$31.62	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $48.98 / $83.18	Professional		$20.42	$48.98	$83.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $16.60 / $33.88	Professional	26	$7.59	$16.60	$33.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $25.12 / $54.95	Professional	TC	$12.88	$25.12	$54.95
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $66.07 / $123.03	Professional		$51.29	$66.07	$123.03
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $22.39 / $41.69	Professional	26	$17.78	$22.39	$41.69
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $42.66 / $85.11	Professional	TC	$33.11	$42.66	$85.11
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $20.89 / $20.89	Facility	26	$20.89	$20.89	$20.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $48.98 / $93.33	Professional		$18.20	$48.98	$93.33
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $17.78 / $36.31	Professional	26	$7.59	$17.78	$36.31
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $30.90 / $58.88	Professional	TC	$10.00	$30.90	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $51.29 / $112.20	Professional		$22.91	$51.29	$112.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $17.78 / $32.36	Professional	26	$11.22	$17.78	$32.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.22 / $30.90 / $63.10	Professional	TC	$11.22	$30.90	$63.10