Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.91 / $23.91 / $23.91	Facility	26	$23.91	$23.91	$23.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $49.01 / $92.50	Professional		$38.25	$49.01	$92.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.23 / $23.78 / $31.34	Professional	26	$21.23	$23.78	$31.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.01 / $20.05 / $61.17	Professional	TC	$17.01	$20.05	$61.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $65.84 / $131.75	Professional		$53.70	$65.84	$131.75
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.53 / $28.95 / $50.16	Professional	26	$21.53	$28.95	$50.16
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.94 / $38.76 / $72.92	Professional	TC	$32.94	$38.76	$72.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.28 / $86.31 / $129.13	Professional		$53.28	$86.31	$129.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.32 / $32.28 / $45.35	Professional	26	$25.32	$32.28	$45.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.34 / $55.33 / $83.78	Professional	TC	$23.34	$55.33	$83.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $50.55 / $68.43 / $121.46	Professional		$50.55	$68.43	$121.46
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $24.73 / $28.61 / $67.39	Professional	26	$24.73	$28.61	$67.39
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $43.69 / $50.55 / $119.06	Professional	TC	$43.69	$50.55	$119.06
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $55.49 / $92.50	Professional		$38.25	$55.49	$92.50
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $21.23 / $23.91 / $32.96	Professional	26	$21.23	$23.91	$32.96
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $17.01 / $31.57 / $61.17	Professional	TC	$17.01	$31.57	$61.17
United Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $54.99 / $106.75	Professional		$42.49	$54.99	$106.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.01 / $29.42 / $38.97	Professional	26	$21.01	$29.42	$38.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.66 / $31.30 / $67.98	Professional	TC	$20.66	$31.30	$67.98