Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $37.84 / $75.08	Professional		$25.80	$37.84	$75.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.58 / $18.30 / $35.97	Professional	26	$12.58	$18.30	$35.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.22 / $19.53 / $39.10	Professional	TC	$13.22	$19.53	$39.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $40.28 / $50.80	Professional		$34.94	$40.28	$50.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.42 / $19.10 / $23.92	Professional	26	$16.42	$19.10	$23.92
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.52 / $21.18 / $26.92	Professional	TC	$18.52	$21.18	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $53.35 / $93.66	Professional		$34.40	$53.35	$93.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.99 / $21.64 / $44.37	Professional	26	$15.99	$21.64	$44.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.42 / $27.91 / $54.43	Professional	TC	$18.42	$27.91	$54.43
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $40.96 / $54.87	Professional		$22.41	$40.96	$54.87
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $14.53 / $19.37 / $30.14	Professional	26	$14.53	$19.37	$30.14
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $16.61 / $21.85 / $29.09	Professional	TC	$16.61	$21.85	$29.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $37.84 / $83.69	Professional		$33.47	$37.84	$83.69
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $15.63 / $18.30 / $39.17	Professional	26	$15.63	$18.30	$39.17
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $17.07 / $19.53 / $44.51	Professional	TC	$17.07	$19.53	$44.51
United Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $41.48 / $61.62	Professional		$27.19	$41.48	$61.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.59 / $19.19 / $27.83	Professional	26	$13.59	$19.19	$27.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.60 / $19.36 / $28.01	Professional	TC	$13.60	$19.36	$28.01