Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $23.99 / $23.99	Facility	26	$23.99	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $63.10 / $128.82	Professional		$39.81	$63.10	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $25.70 / $64.57	Professional	26	$19.95	$25.70	$64.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $34.67 / $66.07	Professional	TC	$18.20	$34.67	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $75.86 / $144.54	Professional		$51.29	$75.86	$144.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $30.20 / $51.29	Professional	26	$19.50	$30.20	$51.29
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $46.77 / $87.10	Professional	TC	$25.70	$46.77	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $125.89	Professional		$51.29	$72.44	$125.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $30.20 / $45.71	Professional	26	$23.44	$30.20	$45.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $46.77 / $81.28	Professional	TC	$22.91	$46.77	$81.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $83.18 / $147.91	Professional		$43.65	$83.18	$147.91
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $30.20 / $53.70	Professional	26	$23.99	$30.20	$53.70
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $57.54 / $117.49	Professional	TC	$37.15	$57.54	$117.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $72.44 / $134.90	Professional		$43.65	$72.44	$134.90
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $28.18 / $63.10	Professional	26	$21.38	$28.18	$63.10
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $42.66 / $69.18	Professional	TC	$19.05	$42.66	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $69.18 / $114.82	Professional		$46.77	$69.18	$114.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $30.20 / $43.65	Professional	26	$21.38	$30.20	$43.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $40.74 / $72.44	Professional	TC	$20.89	$40.74	$72.44