Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.85 / $16.85 / $17.10	Facility	26	$16.85	$16.85	$17.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.62 / $57.83 / $96.43	Professional		$44.62	$57.83	$96.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.73 / $15.08 / $21.87	Professional	26	$11.73	$15.08	$21.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.34 / $42.57 / $74.80	Professional	TC	$33.34	$42.57	$74.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $70.43 / $101.73	Professional		$52.40	$70.43	$101.73
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.59 / $19.64 / $26.70	Professional	26	$13.59	$19.64	$26.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.82 / $51.81 / $75.03	Professional	TC	$38.82	$51.81	$75.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.76 / $73.95 / $118.81	Professional		$59.76	$73.95	$118.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.28 / $22.64 / $33.77	Professional	26	$16.28	$22.64	$33.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.84 / $56.17 / $85.04	Professional	TC	$40.84	$56.17	$85.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $66.78 / $81.47 / $154.03	Professional		$66.78	$81.47	$154.03
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $17.30 / $20.83 / $37.58	Professional	26	$17.30	$20.83	$37.58
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $49.46 / $58.03 / $114.08	Professional	TC	$49.46	$58.03	$114.08
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $16.85 / $16.85 / $17.10	Facility	26	$16.85	$16.85	$17.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $51.24 / $60.60 / $114.58	Professional		$51.24	$60.60	$114.58
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $13.50 / $16.85 / $31.13	Professional	26	$13.50	$16.85	$31.13
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $37.71 / $45.85 / $83.44	Professional	TC	$37.71	$45.85	$83.44
United Facility/Professional Professional Modifier Low / Median / High Price $50.06 / $76.62 / $125.84	Professional		$50.06	$76.62	$125.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.68 / $21.84 / $35.07	Professional	26	$14.68	$21.84	$35.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.97 / $58.11 / $90.77	Professional	TC	$38.97	$58.11	$90.77