Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $29.01 / $39.11	Professional		$24.60	$29.01	$39.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.12 / $3.96 / $4.74	Professional	26	$3.12	$3.96	$4.74
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $9.30 / $12.31 / $14.55	Professional	52	$9.30	$12.31	$14.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.14 / $25.10 / $34.51	Professional	TC	$21.14	$25.10	$34.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $28.34 / $42.34	Professional		$23.45	$28.34	$42.34
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $2.93 / $3.73 / $5.73	Professional	26	$2.93	$3.73	$5.73
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $35.17 / $42.51 / $63.51	Professional	50	$35.17	$42.51	$63.51
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.55 / $24.70 / $35.77	Professional	TC	$19.55	$24.70	$35.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $44.28 / $74.56	Professional		$29.36	$44.28	$74.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.64 / $5.63 / $12.42	Professional	26	$3.64	$5.63	$12.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.94 / $37.18 / $65.05	Professional	TC	$24.94	$37.18	$65.05
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $44.25 / $65.59	Professional		$32.90	$44.25	$65.59
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $3.71 / $4.47 / $8.05	Professional	26	$3.71	$4.47	$8.05
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 Professional Modifier Low / Median / High Price $24.60 / $29.01 / $41.91	Professional		$24.60	$29.01	$41.91
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $3.26 / $3.91 / $4.86	Professional	26	$3.26	$3.91	$4.86
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $8.96 / $12.31 / $14.55	Professional	52	$8.96	$12.31	$14.55
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $21.14 / $25.10 / $37.39	Professional	TC	$21.14	$25.10	$37.39
United Facility/Professional Professional Modifier Low / Median / High Price $22.38 / $30.16 / $47.57	Professional		$22.38	$30.16	$47.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.25 / $4.36 / $5.90	Professional	26	$3.25	$4.36	$5.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.13 / $25.60 / $41.67	Professional	TC	$19.13	$25.60	$41.67