Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.87 / $29.87 / $29.87	Facility	26	$29.87	$29.87	$29.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.67 / $61.78 / $104.67	Professional		$59.67	$61.78	$104.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.64 / $29.83 / $42.01	Professional	26	$26.64	$29.83	$42.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.91 / $33.20 / $62.65	Professional	TC	$31.91	$33.20	$62.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $82.09 / $130.34	Professional		$63.43	$82.09	$130.34
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.95 / $37.46 / $55.56	Professional	26	$28.95	$37.46	$55.56
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.26 / $46.15 / $74.78	Professional	TC	$35.26	$46.15	$74.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.36 / $31.36 / $31.36	Facility	26	$31.36	$31.36	$31.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $95.05 / $172.39	Professional		$65.34	$95.05	$172.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.24 / $39.79 / $62.19	Professional	26	$29.24	$39.79	$62.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.38 / $51.88 / $119.64	Professional	TC	$34.38	$51.88	$119.64
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $70.36 / $90.62 / $170.02	Professional		$70.36	$90.62	$170.02
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $29.99 / $38.63 / $77.01	Professional	26	$29.99	$38.63	$77.01
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $40.36 / $51.98 / $103.63	Professional	TC	$40.36	$51.98	$103.63
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $59.67 / $65.63 / $104.67	Professional		$59.67	$65.63	$104.67
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $26.64 / $29.87 / $42.01	Professional	26	$26.64	$29.87	$42.01
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $31.91 / $36.33 / $62.65	Professional	TC	$31.91	$36.33	$62.65
United Facility/Professional Professional Modifier Low / Median / High Price $56.52 / $82.52 / $128.41	Professional		$56.52	$82.52	$128.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.37 / $40.79 / $54.69	Professional	26	$28.37	$40.79	$54.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.49 / $42.02 / $67.33	Professional	TC	$28.49	$42.02	$67.33