Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.92 / $15.50 / $17.94	Facility	26	$14.92	$15.50	$17.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $41.22 / $76.14	Professional		$34.85	$41.22	$76.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $13.95 / $20.19	Professional	26	$12.59	$13.95	$20.19
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.93 / $19.67 / $24.90	Professional	52	$13.93	$19.67	$24.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $27.26 / $55.94	Professional	TC	$22.26	$27.26	$55.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.99 / $57.35 / $86.47	Professional		$43.99	$57.35	$86.47
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.62 / $17.82 / $24.79	Professional	26	$12.62	$17.82	$24.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.38 / $39.28 / $57.75	Professional	TC	$31.38	$39.28	$57.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.67 / $59.20 / $100.58	Professional		$41.67	$59.20	$100.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.24 / $20.70 / $30.32	Professional	26	$13.24	$20.70	$30.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.26 / $42.24 / $71.77	Professional	TC	$28.26	$42.24	$71.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $56.06 / $67.45 / $121.70	Professional		$56.06	$67.45	$121.70
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $16.07 / $19.34 / $34.90	Professional	26	$16.07	$19.34	$34.90
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $39.97 / $48.11 / $92.21	Professional	TC	$39.97	$48.11	$92.21
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $14.92 / $15.50 / $17.94	Facility	26	$14.92	$15.50	$17.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $49.79 / $85.93	Professional		$34.85	$49.79	$85.93
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $15.50 / $28.58	Professional	26	$12.59	$15.50	$28.58
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $14.08 / $24.90 / $37.59	Professional	52	$14.08	$24.90	$37.59
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $34.29 / $67.56	Professional	TC	$22.26	$34.29	$67.56
United Facility/Professional Professional Modifier Low / Median / High Price $43.76 / $51.15 / $103.64	Professional		$43.76	$51.15	$103.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.47 / $20.39 / $32.27	Professional	26	$13.47	$20.39	$32.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.49 / $31.39 / $71.37	Professional	TC	$26.49	$31.39	$71.37