Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.09 / $31.00 / $41.72	Professional		$25.09	$31.00	$41.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.12 / $23.77 / $26.66	Professional	26	$14.12	$23.77	$26.66
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.55 / $15.50 / $20.86	Professional	52	$12.55	$15.50	$20.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1.32 / $4.34 / $27.60	Professional	TC	$1.32	$4.34	$27.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.50 / $30.50 / $43.69	Professional		$30.50	$30.50	$43.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.78 / $26.78 / $37.59	Professional	26	$26.78	$26.78	$37.59
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $4.47 / $4.50 / $6.10	Professional	TC	$4.47	$4.50	$6.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.13 / $37.74 / $64.12	Professional		$30.13	$37.74	$64.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.48 / $31.87 / $54.62	Professional	26	$19.48	$31.87	$54.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $4.25 / $5.56 / $22.70	Professional	TC	$4.25	$5.56	$22.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $30.76 / $35.45 / $47.19	Professional		$30.76	$35.45	$47.19
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $23.18 / $30.50 / $40.60	Professional	26	$23.18	$30.50	$40.60
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $3.76 / $4.95 / $6.59	Professional	TC	$3.76	$4.95	$6.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.09 / $31.00 / $41.72	Professional		$25.09	$31.00	$41.72
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $14.12 / $25.58 / $26.66	Professional	26	$14.12	$25.58	$26.66
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $12.55 / $15.50 / $20.86	Professional	52	$12.55	$15.50	$20.86
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $1.32 / $4.34 / $27.60	Professional	TC	$1.32	$4.34	$27.60
United Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $39.27 / $64.18	Professional		$24.62	$39.27	$64.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.44 / $30.50 / $49.53	Professional	26	$21.44	$30.50	$49.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.91 / $4.05 / $8.69	Professional	TC	$2.91	$4.05	$8.69