Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.60 / $36.60 / $36.60	Facility	26	$36.60	$36.60	$36.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.29 / $57.01 / $109.75	Professional		$50.29	$57.01	$109.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.27 / $36.13 / $48.01	Professional	26	$32.27	$36.13	$48.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.16 / $21.26 / $61.73	Professional	TC	$18.16	$21.26	$61.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.37 / $79.18 / $168.79	Professional		$64.37	$79.18	$168.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.47 / $44.40 / $75.67	Professional	26	$32.47	$44.40	$75.67
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.24 / $39.11 / $73.58	Professional	TC	$33.24	$39.11	$73.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $103.27 / $153.19	Professional		$68.66	$103.27	$153.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.24 / $48.87 / $68.66	Professional	26	$38.24	$48.87	$68.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.25 / $55.86 / $84.53	Professional	TC	$24.25	$55.86	$84.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $61.19 / $82.03 / $145.60	Professional		$61.19	$82.03	$145.60
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $37.92 / $38.29 / $103.33	Professional	26	$37.92	$38.29	$103.33
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $44.11 / $44.55 / $120.20	Professional	TC	$44.11	$44.55	$120.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $50.29 / $68.56 / $109.75	Professional		$50.29	$68.56	$109.75
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $32.27 / $36.60 / $50.45	Professional	26	$32.27	$36.60	$50.45
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $18.03 / $31.98 / $61.73	Professional	TC	$18.03	$31.98	$61.73
United Facility/Professional Professional Modifier Low / Median / High Price $55.60 / $76.20 / $136.88	Professional		$55.60	$76.20	$136.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.15 / $45.54 / $61.53	Professional	26	$32.15	$45.54	$61.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.25 / $28.80 / $63.86	Professional	TC	$22.25	$28.80	$63.86