Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.55 / $12.55 / $14.75	Facility	26	$12.55	$12.55	$14.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $38.84 / $50.68	Professional		$33.90	$38.84	$50.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.37 / $14.97 / $16.16	Professional	26	$11.37	$14.97	$16.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.58 / $23.76 / $34.51	Professional	TC	$21.58	$23.76	$34.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.84 / $39.94 / $58.49	Professional		$32.84	$39.94	$58.49
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.94 / $13.61 / $19.71	Professional	26	$10.94	$13.61	$19.71
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.17 / $26.33 / $37.96	Professional	TC	$21.17	$26.33	$37.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $45.84 / $68.88	Professional		$36.79	$45.84	$68.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.68 / $17.45 / $23.41	Professional	26	$12.68	$17.45	$23.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $27.38 / $45.47	Professional	TC	$22.57	$27.38	$45.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $37.51 / $45.13 / $81.43	Professional		$37.51	$45.13	$81.43
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $12.78 / $15.38 / $27.74	Professional	26	$12.78	$15.38	$27.74
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $24.73 / $30.17 / $57.04	Professional	TC	$24.73	$30.17	$57.04
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $12.55 / $12.55 / $14.75	Facility	26	$12.55	$12.55	$14.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $38.84 / $53.43	Professional		$35.25	$38.84	$53.43
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $11.56 / $14.75 / $17.91	Professional	26	$11.56	$14.75	$17.91
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $21.58 / $24.07 / $37.39	Professional	TC	$21.58	$24.07	$37.39
United Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $47.76 / $63.25	Professional		$37.89	$47.76	$63.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.44 / $19.29 / $31.12	Professional	26	$14.44	$19.29	$31.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.16 / $26.18 / $41.68	Professional	TC	$22.16	$26.18	$41.68