Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.79 / $15.49 / $17.78	Facility	26	$14.79	$15.49	$17.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $47.86 / $104.71	Professional		$34.67	$47.86	$104.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $15.14 / $40.74	Professional	26	$10.96	$15.14	$40.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $33.88 / $74.13	Professional	TC	$19.05	$33.88	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $57.54 / $85.11	Professional		$38.90	$57.54	$85.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $16.98 / $24.55	Professional	26	$10.72	$16.98	$24.55
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $39.81 / $58.88	Professional	TC	$28.18	$39.81	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $57.54 / $102.33	Professional		$38.90	$57.54	$102.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $18.62 / $32.36	Professional	26	$13.18	$18.62	$32.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $39.81 / $74.13	Professional	TC	$25.70	$39.81	$74.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $131.83	Professional		$56.23	$70.79	$131.83
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $19.95 / $37.15	Professional	26	$15.85	$19.95	$37.15
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $51.29 / $100.00	Professional	TC	$40.74	$51.29	$100.00
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $14.79 / $15.49 / $17.78	Facility	26	$14.79	$15.49	$17.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $61.66 / $117.49	Professional		$38.02	$61.66	$117.49
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $18.62 / $39.81	Professional	26	$12.59	$18.62	$39.81
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $43.65 / $83.18	Professional	TC	$25.12	$43.65	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $57.54 / $114.82	Professional		$41.69	$57.54	$114.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $19.50 / $34.67	Professional	26	$13.49	$19.50	$34.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $38.90 / $74.13	Professional	TC	$27.54	$38.90	$74.13