Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.49 / $15.49 / $15.49	Facility	26	$15.49	$15.49	$15.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $40.69 / $65.01	Professional		$38.79	$40.69	$65.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.69 / $15.48 / $21.79	Professional	26	$13.69	$15.48	$21.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.10 / $25.65 / $43.20	Professional	TC	$25.10	$25.65	$43.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $51.62 / $80.26	Professional		$39.89	$51.62	$80.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.82 / $19.18 / $28.81	Professional	26	$14.82	$19.18	$28.81
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.05 / $32.42 / $51.45	Professional	TC	$25.05	$32.42	$51.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.25 / $16.25 / $16.25	Facility	26	$16.25	$16.25	$16.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.33 / $54.29 / $88.97	Professional		$40.33	$54.29	$88.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $20.47 / $32.24	Professional	26	$15.14	$20.47	$32.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.48 / $34.13 / $56.74	Professional	TC	$24.48	$34.13	$56.74
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $48.23 / $104.70	Professional		$29.14	$48.23	$104.70
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $15.55 / $20.03 / $39.93	Professional	26	$15.55	$20.03	$39.93
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $30.92 / $36.28 / $67.12	Professional	TC	$30.92	$36.28	$67.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $42.57 / $73.18	Professional		$38.79	$42.57	$73.18
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $13.69 / $15.49 / $25.84	Professional	26	$13.69	$15.49	$25.84
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $24.99 / $27.09 / $47.34	Professional	TC	$24.99	$27.09	$47.34
United Facility/Professional Professional Modifier Low / Median / High Price $36.95 / $53.94 / $79.66	Professional		$36.95	$53.94	$79.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.92 / $20.99 / $28.38	Professional	26	$13.92	$20.99	$28.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.24 / $32.74 / $51.28	Professional	TC	$22.24	$32.74	$51.28