Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $20.89 / $20.89	Facility	26	$20.89	$20.89	$20.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $75.86 / $194.98	Professional		$50.12	$75.86	$194.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $23.44 / $58.88	Professional	26	$16.60	$23.44	$58.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $42.66 / $95.50	Professional	TC	$32.36	$42.66	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $75.86 / $147.91	Professional		$50.12	$75.86	$147.91
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $26.30 / $51.29	Professional	26	$16.98	$26.30	$51.29
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $50.12 / $97.72	Professional	TC	$33.88	$50.12	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $89.13 / $138.04	Professional		$61.66	$89.13	$138.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $26.92 / $40.74	Professional	26	$19.95	$26.92	$40.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $64.57 / $95.50	Professional	TC	$36.31	$64.57	$95.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $81.28 / $147.91	Professional		$42.66	$81.28	$147.91
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $26.30 / $50.12	Professional	26	$20.89	$26.30	$50.12
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $54.95 / $97.72	Professional	TC	$40.74	$54.95	$97.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $173.78	Professional		$51.29	$72.44	$173.78
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $24.55 / $53.70	Professional	26	$16.98	$24.55	$53.70
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $45.71 / $91.20	Professional	TC	$33.11	$45.71	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $77.62 / $147.91	Professional		$51.29	$77.62	$147.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $26.30 / $48.98	Professional	26	$18.20	$26.30	$48.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $51.29 / $97.72	Professional	TC	$33.88	$51.29	$97.72