Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $50.12 / $158.49	Facility	26	$33.11	$50.12	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $87.10 / $213.80	Professional		$48.98	$87.10	$213.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $36.31 / $66.07	Professional	26	$23.99	$36.31	$66.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $47.86 / $138.04	Professional	TC	$25.12	$47.86	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $114.82	Professional		$56.23	$87.10	$114.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $38.90 / $50.12	Professional	26	$25.70	$38.90	$50.12
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $45.71 / $57.54	Professional	TC	$30.20	$45.71	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $95.50 / $173.78	Professional		$72.44	$95.50	$173.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $39.81 / $61.66	Professional	26	$26.92	$39.81	$61.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $57.54 / $114.82	Professional	TC	$36.31	$57.54	$114.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $91.20 / $173.78	Professional		$51.29	$91.20	$173.78
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $43.65 / $77.62	Professional	26	$32.36	$43.65	$77.62
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $54.95 / $95.50	Professional	TC	$39.81	$54.95	$95.50
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $50.12 / $158.49	Facility	26	$33.11	$50.12	$158.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $199.53	Professional		$56.23	$87.10	$199.53
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $38.90 / $67.61	Professional	26	$26.30	$38.90	$67.61
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $46.77 / $107.15	Professional	TC	$29.51	$46.77	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $91.20 / $173.78	Professional		$56.23	$91.20	$173.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $40.74 / $72.44	Professional	26	$27.54	$40.74	$72.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $47.86 / $89.13	Professional	TC	$28.84	$47.86	$89.13