Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.60 / $3.60 / $3.60	Facility	26	$3.60	$3.60	$3.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $37.20 / $69.56	Professional		$26.54	$37.20	$69.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.24 / $3.70 / $6.22	Professional	26	$3.24	$3.70	$6.22
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.33 / $14.05 / $14.05	Professional	52	$11.33	$14.05	$14.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.78 / $33.75 / $37.18	Professional	TC	$23.78	$33.75	$37.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $34.54 / $58.68	Professional		$25.05	$34.54	$58.68
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $3.17 / $4.40 / $7.76	Professional	26	$3.17	$4.40	$7.76
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $29.97 / $50.91	Professional	TC	$21.88	$29.97	$50.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.65 / $41.80 / $112.25	Professional		$29.65	$41.80	$112.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.78 / $4.87 / $6.77	Professional	26	$3.78	$4.87	$6.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.87 / $38.29 / $108.62	Professional	TC	$25.87	$38.29	$108.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $33.58 / $49.75	Professional		$28.03	$33.58	$49.75
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $3.71 / $4.44 / $6.58	Professional	26	$3.71	$4.44	$6.58
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $24.56 / $36.69 / $47.68	Professional	TC	$24.56	$36.69	$47.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $27.51 / $32.13 / $47.98	Professional		$27.51	$32.13	$47.98
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $3.39 / $3.79 / $5.98	Professional	26	$3.39	$3.79	$5.98
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $13.27 / $14.05 / $14.21	Professional	52	$13.27	$14.05	$14.21
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $24.13 / $27.91 / $40.57	Professional	TC	$24.13	$27.91	$40.57
United Facility/Professional Professional Modifier Low / Median / High Price $25.26 / $34.61 / $48.04	Professional		$25.26	$34.61	$48.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.18 / $4.75 / $6.12	Professional	26	$3.18	$4.75	$6.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.91 / $30.03 / $43.17	Professional	TC	$20.91	$30.03	$43.17