Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $25.12 / $25.12	Facility	26	$25.12	$25.12	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $56.23 / $158.49	Professional		$34.67	$56.23	$158.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $25.70 / $79.43	Professional	26	$19.95	$25.70	$79.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $23.99 / $109.65	Professional	TC	$12.88	$23.99	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $56.23 / $66.07	Professional		$40.74	$56.23	$66.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $33.11 / $38.02	Professional	26	$22.39	$33.11	$38.02
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $23.44 / $30.20	Professional	TC	$16.98	$23.44	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $79.43 / $120.23	Professional		$46.77	$79.43	$120.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $43.65 / $58.88	Professional	26	$29.51	$43.65	$58.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $33.88 / $63.10	Professional	TC	$17.78	$33.88	$63.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $61.66 / $117.49	Professional		$45.71	$61.66	$117.49
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $35.48 / $67.61	Professional	26	$29.51	$35.48	$67.61
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $25.12 / $60.26	Professional	TC	$20.89	$25.12	$60.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $70.79 / $208.93	Professional		$42.66	$70.79	$208.93
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $30.90 / $81.28	Professional	26	$23.44	$30.90	$81.28
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $33.11 / $109.65	Professional	TC	$18.20	$33.11	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $100.00 / $125.89	Professional		$45.71	$100.00	$125.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $39.81 / $60.26	Professional	26	$23.44	$39.81	$60.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $48.98 / $77.62	Professional	TC	$21.38	$48.98	$77.62