Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $22.91 / $51.29	Professional		$12.88	$22.91	$51.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.00 / $3.98 / $12.02	Professional	26	$2.00	$3.98	$12.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $17.78 / $37.15	Professional	TC	$10.96	$17.78	$37.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.99 / $47.86	Professional		$16.22	$23.99	$47.86
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $2.69 / $4.27 / $9.77	Professional	26	$2.69	$4.27	$9.77
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $19.50 / $36.31	Professional	TC	$13.49	$19.50	$36.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $0.65 / $3.02 / $4.37	Facility	26	$0.65	$3.02	$4.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $27.54 / $50.12	Professional		$15.85	$27.54	$50.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $5.75 / $9.55	Professional	26	$3.02	$5.75	$9.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.30 / $21.38 / $39.81	Professional	TC	$12.30	$21.38	$39.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.11 / $51.29	Professional		$19.95	$33.11	$51.29
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $3.24 / $5.13 / $8.71	Professional	26	$3.24	$5.13	$8.71
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $26.30 / $42.66	Professional	TC	$16.60	$26.30	$42.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $26.30 / $64.57	Professional		$15.85	$26.30	$64.57
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $2.00 / $5.01 / $14.13	Professional	26	$2.00	$5.01	$14.13
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $20.42 / $52.48	Professional	TC	$12.02	$20.42	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $29.51 / $47.86	Professional		$19.95	$29.51	$47.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.31 / $5.62 / $9.55	Professional	26	$3.31	$5.62	$9.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $23.44 / $38.90	Professional	TC	$15.85	$23.44	$38.90