Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.53 / $19.53 / $19.53	Facility	26	$19.53	$19.53	$19.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.86 / $42.41 / $54.80	Professional		$28.86	$42.41	$54.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.26 / $16.07 / $19.61	Professional	26	$12.26	$16.07	$19.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $26.34 / $36.60	Professional	TC	$16.60	$26.34	$36.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.96 / $58.97 / $89.66	Professional		$44.96	$58.97	$89.66
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $22.38 / $31.15	Professional	26	$15.85	$22.38	$31.15
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.11 / $37.65 / $56.79	Professional	TC	$29.11	$37.65	$56.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.16 / $62.74 / $108.27	Professional		$49.16	$62.74	$108.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.05 / $24.21 / $38.24	Professional	26	$15.05	$24.21	$38.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.21 / $44.42 / $71.61	Professional	TC	$30.21	$44.42	$71.61
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $33.58 / $66.30 / $124.39	Professional		$33.58	$66.30	$124.39
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $20.20 / $23.37 / $46.59	Professional	26	$20.20	$23.37	$46.59
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $37.10 / $42.92 / $85.57	Professional	TC	$37.10	$42.92	$85.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $49.20 / $83.11	Professional		$37.59	$49.20	$83.11
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $14.08 / $18.19 / $36.03	Professional	26	$14.08	$18.19	$36.03
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $23.51 / $32.26 / $56.30	Professional	TC	$23.51	$32.26	$56.30
United Facility/Professional Professional Modifier Low / Median / High Price $45.67 / $55.51 / $107.86	Professional		$45.67	$55.51	$107.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.68 / $24.75 / $40.69	Professional	26	$17.68	$24.75	$40.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.06 / $31.42 / $67.17	Professional	TC	$26.06	$31.42	$67.17