Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.57 / $24.57 / $24.57	Facility	26	$24.57	$24.57	$24.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $32.64 / $86.47	Professional		$29.85	$32.64	$86.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.55 / $21.89 / $31.67	Professional	26	$19.55	$21.89	$31.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.93 / $10.75 / $54.79	Professional	TC	$9.93	$10.75	$54.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.53 / $62.81 / $111.91	Professional		$48.53	$62.81	$111.91
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $29.44 / $50.99	Professional	26	$21.88	$29.44	$50.99
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.29 / $35.64 / $67.05	Professional	TC	$30.29	$35.64	$67.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $81.30 / $123.13	Professional		$39.04	$81.30	$123.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.74 / $32.31 / $46.10	Professional	26	$25.74	$32.31	$46.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.91 / $50.86 / $77.03	Professional	TC	$12.91	$50.86	$77.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $64.30 / $74.40 / $175.22	Professional		$64.30	$74.40	$175.22
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $25.14 / $29.09 / $68.51	Professional	26	$25.14	$29.09	$68.51
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $39.15 / $39.54 / $106.71	Professional	TC	$39.15	$39.54	$106.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $37.54 / $82.30	Professional		$29.16	$37.54	$82.30
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $19.55 / $22.67 / $31.67	Professional	26	$19.55	$22.67	$31.67
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $9.60 / $12.36 / $48.94	Professional	TC	$9.60	$12.36	$48.94
United Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $47.82 / $100.42	Professional		$38.36	$47.82	$100.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.58 / $30.61 / $41.09	Professional	26	$21.58	$30.61	$41.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.85 / $20.02 / $57.48	Professional	TC	$11.85	$20.02	$57.48