Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $40.74	Professional		$19.95	$25.12	$40.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.98 / $8.91 / $52.48	Professional	26	$3.98	$8.91	$52.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $21.88 / $30.90	Professional	TC	$15.85	$21.88	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $50.12 / $63.10	Professional		$12.88	$50.12	$63.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $10.96 / $20.89	Professional	26	$3.02	$10.96	$20.89
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $10.23 / $38.90 / $50.12	Professional	TC	$10.23	$38.90	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.02 / $77.62	Professional		$25.70	$38.02	$77.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.50 / $8.71 / $48.98	Professional	26	$5.50	$8.71	$48.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $28.18 / $61.66	Professional	TC	$19.95	$28.18	$61.66
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $50.12 / $93.33	Professional		$40.74	$50.12	$93.33
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $10.23 / $19.05	Professional	26	$8.32	$10.23	$19.05
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $39.81 / $74.13	Professional	TC	$32.36	$39.81	$74.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $40.74 / $81.28	Professional		$21.88	$40.74	$81.28
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $16.22 / $50.12	Professional	26	$5.01	$16.22	$50.12
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $33.88 / $64.57	Professional	TC	$19.05	$33.88	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $48.98 / $93.33	Professional		$28.84	$48.98	$93.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.98 / $10.47 / $18.62	Professional	26	$3.98	$10.47	$18.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $37.15 / $72.44	Professional	TC	$16.22	$37.15	$72.44