Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $29.51 / $295.12	Facility	26	$26.92	$29.51	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $81.28 / $154.88	Professional		$39.81	$81.28	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $31.62 / $57.54	Professional	26	$18.20	$31.62	$57.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $33.88 / $114.82	Professional	TC	$19.05	$33.88	$114.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $93.33	Professional		$44.67	$60.26	$93.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $28.84 / $43.65	Professional	26	$21.38	$28.84	$43.65
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $31.62 / $50.12	Professional	TC	$23.44	$31.62	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $89.13 / $165.96	Professional		$58.88	$89.13	$165.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $31.62 / $52.48	Professional	26	$18.20	$31.62	$52.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $52.48 / $109.65	Professional	TC	$28.84	$52.48	$109.65
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $77.62 / $144.54	Professional		$53.70	$77.62	$144.54
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $37.15 / $67.61	Professional	26	$28.84	$37.15	$67.61
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $41.69 / $77.62	Professional	TC	$33.11	$41.69	$77.62
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $29.51 / $295.12	Facility	26	$26.92	$29.51	$295.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $77.62 / $162.18	Professional		$47.86	$77.62	$162.18
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $32.36 / $57.54	Professional	26	$20.89	$32.36	$57.54
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $37.15 / $89.13	Professional	TC	$23.44	$37.15	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $77.62 / $144.54	Professional		$46.77	$77.62	$144.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $35.48 / $64.57	Professional	26	$21.38	$35.48	$64.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $38.90 / $77.62	Professional	TC	$22.91	$38.90	$77.62