Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $30.20 / $30.20	Facility	26	$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $67.61 / $173.78	Professional		$56.23	$67.61	$173.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $32.36 / $81.28	Professional	26	$25.12	$32.36	$81.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $33.88 / $72.44	Professional	TC	$27.54	$33.88	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $95.50 / $151.36	Professional		$58.88	$95.50	$151.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $41.69 / $64.57	Professional	26	$25.70	$41.69	$64.57
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $54.95 / $87.10	Professional	TC	$30.90	$54.95	$87.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.61 / $30.90 / $44.67	Facility	26	$6.61	$30.90	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $177.83	Professional		$64.57	$95.50	$177.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $38.90 / $64.57	Professional	26	$29.51	$38.90	$64.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $51.29 / $120.23	Professional	TC	$34.67	$51.29	$120.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $112.20 / $199.53	Professional		$60.26	$112.20	$199.53
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $48.98 / $89.13	Professional	26	$34.67	$48.98	$89.13
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $77.62 / $128.82	Professional	TC	$47.86	$77.62	$128.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $83.18 / $186.21	Professional		$60.26	$83.18	$186.21
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $39.81 / $81.28	Professional	26	$27.54	$39.81	$81.28
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $42.66 / $89.13	Professional	TC	$31.62	$42.66	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $144.54	Professional		$57.54	$85.11	$144.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $38.90 / $63.10	Professional	26	$28.18	$38.90	$63.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $46.77 / $83.18	Professional	TC	$29.51	$46.77	$83.18