Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.10 / $21.10 / $21.10	Facility	26	$21.10	$21.10	$21.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $47.09 / $84.48	Professional		$37.79	$47.09	$84.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.26 / $21.35 / $27.15	Professional	26	$20.26	$21.35	$27.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.44 / $20.58 / $53.05	Professional	TC	$16.44	$20.58	$53.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.58 / $57.86 / $120.96	Professional		$46.58	$57.86	$120.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.70 / $25.09 / $44.53	Professional	26	$18.70	$25.09	$44.53
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.12 / $34.26 / $64.45	Professional	TC	$29.12	$34.26	$64.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $75.02 / $113.62	Professional		$49.98	$75.02	$113.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.98 / $29.66 / $39.59	Professional	26	$21.98	$29.66	$39.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.79 / $48.88 / $74.03	Professional	TC	$20.79	$48.88	$74.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $59.36 / $59.95 / $105.36	Professional		$59.36	$59.95	$105.36
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $21.43 / $21.64 / $38.04	Professional	26	$21.43	$21.64	$38.04
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $37.92 / $38.29 / $103.33	Professional	TC	$37.92	$38.29	$103.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $48.67 / $80.20	Professional		$37.79	$48.67	$80.20
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $19.61 / $21.35 / $28.54	Professional	26	$19.61	$21.35	$28.54
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $16.44 / $27.55 / $53.05	Professional	TC	$16.44	$27.55	$53.05
United Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $51.74 / $92.62	Professional		$39.46	$51.74	$92.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.02 / $30.01 / $36.94	Professional	26	$19.02	$30.01	$36.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.73 / $23.42 / $57.21	Professional	TC	$18.73	$23.42	$57.21