Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $34.67 / $34.67	Facility	26	$34.67	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.40 / $70.27 / $111.47	Professional		$62.40	$70.27	$111.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.07 / $30.71 / $52.05	Professional	26	$27.07	$30.71	$52.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.34 / $39.58 / $59.42	Professional	TC	$35.34	$39.58	$59.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.42 / $87.25 / $125.90	Professional		$67.42	$87.25	$125.90
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.54 / $43.40 / $61.68	Professional	26	$33.54	$43.40	$61.68
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $44.47 / $64.22	Professional	TC	$33.88	$44.47	$64.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.51 / $113.64 / $150.21	Professional		$79.51	$113.64	$150.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.51 / $55.29 / $74.65	Professional	26	$39.51	$55.29	$74.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.00 / $58.34 / $75.56	Professional	TC	$40.00	$58.34	$75.56
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $40.81 / $83.26 / $180.74	Professional		$40.81	$83.26	$180.74
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $41.22 / $49.79 / $94.13	Professional	26	$41.22	$49.79	$94.13
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $42.46 / $49.13 / $92.17	Professional	TC	$42.46	$49.13	$92.17
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $62.40 / $73.45 / $122.34	Professional		$62.40	$73.45	$122.34
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $27.07 / $34.67 / $59.50	Professional	26	$27.07	$34.67	$59.50
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $35.34 / $40.64 / $64.50	Professional	TC	$35.34	$40.64	$64.50
United Facility/Professional Professional Modifier Low / Median / High Price $63.49 / $94.36 / $157.54	Professional		$63.49	$94.36	$157.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.38 / $50.29 / $83.02	Professional	26	$32.38	$50.29	$83.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.11 / $49.00 / $79.81	Professional	TC	$31.11	$49.00	$79.81