Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.03 / $49.39 / $49.39	Facility	26	$28.03	$49.39	$49.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.99 / $82.34 / $124.36	Professional		$54.99	$82.34	$124.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.92 / $19.82 / $36.36	Professional	26	$16.92	$19.82	$36.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.79 / $52.79 / $64.31	Professional	TC	$26.79	$52.79	$64.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.52 / $55.43 / $94.11	Professional		$48.52	$55.43	$94.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.24 / $28.52 / $43.87	Professional	26	$24.24	$28.52	$43.87
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.88 / $27.72 / $50.23	Professional	TC	$25.88	$27.72	$50.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.96 / $77.43 / $138.09	Professional		$58.96	$77.43	$138.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.28 / $32.09 / $51.37	Professional	26	$21.28	$32.09	$51.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.83 / $39.33 / $86.14	Professional	TC	$28.83	$39.33	$86.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $61.83 / $109.74	Professional		$28.85	$61.83	$109.74
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $28.85 / $34.57 / $56.56	Professional	26	$28.85	$34.57	$56.56
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $32.97 / $39.51 / $64.66	Professional	TC	$32.97	$39.51	$64.66
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $26.98 / $28.48 / $297.41	Facility	26	$26.98	$28.48	$297.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $55.03 / $73.73 / $107.53	Professional		$55.03	$73.73	$107.53
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $18.01 / $28.03 / $43.85	Professional	26	$18.01	$28.03	$43.85
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $27.00 / $41.19 / $65.34	Professional	TC	$27.00	$41.19	$65.34
United Facility/Professional Professional Modifier Low / Median / High Price $46.35 / $65.89 / $109.74	Professional		$46.35	$65.89	$109.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.00 / $35.26 / $46.53	Professional	26	$24.00	$35.26	$46.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.92 / $31.39 / $56.21	Professional	TC	$21.92	$31.39	$56.21