Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.28 / $25.28 / $25.28	Facility	26	$25.28	$25.28	$25.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $70.65 / $83.93	Professional		$49.98	$70.65	$83.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.48 / $25.28 / $37.90	Professional	26	$23.48	$25.28	$37.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.69 / $47.17 / $57.84	Professional	TC	$24.69	$47.17	$57.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $55.41 / $75.03	Professional		$44.11	$55.41	$75.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.70 / $31.96 / $45.13	Professional	26	$24.70	$31.96	$45.13
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.69 / $22.37 / $29.89	Professional	TC	$16.69	$22.37	$29.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.88 / $71.62 / $93.29	Professional		$46.88	$71.62	$93.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.04 / $40.47 / $54.86	Professional	26	$29.04	$40.47	$54.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.84 / $31.14 / $62.64	Professional	TC	$17.84	$31.14	$62.64
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $29.68 / $50.70 / $110.06	Professional		$29.68	$50.70	$110.06
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $29.68 / $35.56 / $64.43	Professional	26	$29.68	$35.56	$64.43
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $21.02 / $24.32 / $45.63	Professional	TC	$21.02	$24.32	$45.63
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $49.97 / $70.65 / $88.34	Professional		$49.97	$70.65	$88.34
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $23.48 / $27.00 / $43.31	Professional	26	$23.48	$27.00	$43.31
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $21.89 / $35.44 / $57.84	Professional	TC	$21.89	$35.44	$57.84
United Facility/Professional Professional Modifier Low / Median / High Price $54.24 / $112.06 / $136.85	Professional		$54.24	$112.06	$136.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.61 / $40.14 / $60.53	Professional	26	$23.61	$40.14	$60.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.59 / $59.14 / $80.83	Professional	TC	$21.59	$59.14	$80.83