Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.37 / $11.58 / $12.92	Facility	26	$11.37	$11.58	$12.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $29.01 / $53.65	Professional		$25.76	$29.01	$53.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.48 / $9.63 / $14.50	Professional	26	$8.48	$9.63	$14.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.28 / $19.57 / $39.15	Professional	TC	$17.28	$19.57	$39.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $42.03 / $60.40	Professional		$31.05	$42.03	$60.40
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.85 / $13.25 / $17.80	Professional	26	$9.85	$13.25	$17.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.00 / $29.35 / $42.59	Professional	TC	$22.00	$29.35	$42.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $45.78 / $72.18	Professional		$36.40	$45.78	$72.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $15.48 / $22.68	Professional	26	$10.23	$15.48	$22.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.42 / $33.13 / $49.49	Professional	TC	$22.42	$33.13	$49.49
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $39.57 / $48.28 / $91.27	Professional		$39.57	$48.28	$91.27
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.54 / $13.89 / $25.05	Professional	26	$11.54	$13.89	$25.05
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $28.03 / $33.72 / $60.85	Professional	TC	$28.03	$33.72	$60.85
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $11.37 / $11.58 / $12.92	Facility	26	$11.37	$11.58	$12.92
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $36.56 / $67.98	Professional		$25.76	$36.56	$67.98
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $8.48 / $11.58 / $24.37	Professional	26	$8.48	$11.58	$24.37
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $17.28 / $24.97 / $47.31	Professional	TC	$17.28	$24.97	$47.31
United Facility/Professional Professional Modifier Low / Median / High Price $32.84 / $46.22 / $76.13	Professional		$32.84	$46.22	$76.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.08 / $15.57 / $24.14	Professional	26	$10.08	$15.57	$24.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.28 / $25.07 / $55.53	Professional	TC	$20.28	$25.07	$55.53