Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.75 / $52.41 / $57.42	Facility	26	$32.75	$52.41	$57.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.62 / $101.07 / $121.12	Professional		$66.62	$101.07	$121.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.26 / $29.52 / $46.51	Professional	26	$25.26	$29.52	$46.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $63.60 / $85.82	Professional	TC	$33.88	$63.60	$85.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.06 / $79.02 / $113.80	Professional		$61.06	$79.02	$113.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.95 / $35.65 / $51.49	Professional	26	$28.95	$35.65	$51.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.35 / $41.12 / $62.31	Professional	TC	$32.35	$41.12	$62.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.63 / $94.87 / $154.16	Professional		$71.63	$94.87	$154.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.01 / $39.69 / $60.62	Professional	26	$28.01	$39.69	$60.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.17 / $49.35 / $90.32	Professional	TC	$36.17	$49.35	$90.32
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $86.80 / $133.15	Professional		$52.59	$86.80	$133.15
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $33.79 / $39.11 / $66.26	Professional	26	$33.79	$39.11	$66.26
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $41.22 / $49.39 / $73.16	Professional	TC	$41.22	$49.39	$73.16
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $31.52 / $37.88 / $158.44	Facility	26	$31.52	$37.88	$158.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $66.62 / $84.92 / $123.84	Professional		$66.62	$84.92	$123.84
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $26.83 / $32.75 / $51.22	Professional	26	$26.83	$32.75	$51.22
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $47.03 / $85.82	Professional	TC	$33.88	$47.03	$85.82
United Facility/Professional Professional Modifier Low / Median / High Price $56.04 / $80.05 / $124.58	Professional		$56.04	$80.05	$124.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.54 / $41.12 / $54.47	Professional	26	$28.54	$41.12	$54.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.50 / $40.28 / $70.53	Professional	TC	$27.50	$40.28	$70.53