Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.20 / $13.63 / $97.42	Facility	26	$12.20	$13.63	$97.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.49 / $62.60 / $76.45	Professional		$46.49	$62.60	$76.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.40 / $13.69 / $16.68	Professional	26	$12.40	$13.69	$16.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.57 / $48.89 / $57.71	Professional	TC	$34.57	$48.89	$57.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.59 / $54.13 / $80.26	Professional		$40.59	$54.13	$80.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.59 / $13.70 / $21.31	Professional	26	$10.59	$13.70	$21.31
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.00 / $38.83 / $59.68	Professional	TC	$30.00	$38.83	$59.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.60 / $11.60 / $11.60	Facility	26	$11.60	$11.60	$11.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.69 / $72.12 / $108.97	Professional		$46.69	$72.12	$108.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.51 / $17.23 / $27.08	Professional	26	$11.51	$17.23	$27.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.96 / $53.52 / $84.65	Professional	TC	$34.96	$53.52	$84.65
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $43.33 / $56.58 / $111.24	Professional		$43.33	$56.58	$111.24
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.11 / $14.31 / $28.53	Professional	26	$11.11	$14.31	$28.53
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $32.22 / $41.49 / $82.71	Professional	TC	$32.22	$41.49	$82.71
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $12.20 / $13.86 / $97.42	Facility	26	$12.20	$13.86	$97.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $46.49 / $61.79 / $77.47	Professional		$46.49	$61.79	$77.47
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $12.40 / $13.63 / $17.71	Professional	26	$12.40	$13.63	$17.71
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $34.57 / $48.17 / $61.46	Professional	TC	$34.57	$48.17	$61.46
United Facility/Professional Professional Modifier Low / Median / High Price $55.45 / $79.98 / $106.80	Professional		$55.45	$79.98	$106.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.37 / $18.48 / $28.78	Professional	26	$12.37	$18.48	$28.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.00 / $61.98 / $83.01	Professional	TC	$39.00	$61.98	$83.01