Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.16 / $24.71 / $28.23	Professional		$16.16	$24.71	$28.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.75 / $5.03 / $5.61	Professional	26	$2.75	$5.03	$5.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.42 / $19.69 / $23.39	Professional	TC	$13.42	$19.69	$23.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $21.50 / $30.88	Professional		$16.84	$21.50	$30.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $3.17 / $4.05 / $7.01	Professional	26	$3.17	$4.05	$7.01
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $12.70 / $16.44 / $25.38	Professional	TC	$12.70	$16.44	$25.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.06 / $3.06 / $3.06	Facility	26	$3.06	$3.06	$3.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $28.04 / $41.30	Professional		$16.89	$28.04	$41.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.10 / $5.70 / $8.78	Professional	26	$3.10	$5.70	$8.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.00 / $21.48 / $35.20	Professional	TC	$14.00	$21.48	$35.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $21.46 / $42.79	Professional		$18.55	$21.46	$42.79
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $2.96 / $3.82 / $7.61	Professional	26	$2.96	$3.82	$7.61
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $13.70 / $17.64 / $35.17	Professional	TC	$13.70	$17.64	$35.17
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $24.71 / $30.09	Professional		$17.76	$24.71	$30.09
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $2.84 / $5.00 / $6.06	Professional	26	$2.84	$5.00	$6.06
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $14.92 / $19.69 / $23.64	Professional	TC	$14.92	$19.69	$23.64
United Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $31.67 / $43.99	Professional		$19.94	$31.67	$43.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.99 / $6.95 / $9.75	Professional	26	$3.99	$6.95	$9.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.32 / $25.19 / $39.03	Professional	TC	$16.32	$25.19	$39.03