Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $30.20 / $30.20	Facility	26	$23.99	$30.20	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.90 / $97.72	Professional		$30.90	$38.90	$97.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $25.12 / $63.10	Professional	26	$19.95	$25.12	$63.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $12.02 / $28.18	Professional	TC	$10.00	$12.02	$28.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $81.28	Professional		$32.36	$50.12	$81.28
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $33.11 / $51.29	Professional	26	$20.89	$33.11	$51.29
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $10.72 / $18.20 / $30.20	Professional	TC	$10.72	$18.20	$30.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.37 / $25.12 / $35.48	Facility	26	$5.37	$25.12	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $79.43	Professional		$34.67	$46.77	$79.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $31.62 / $51.29	Professional	26	$22.91	$31.62	$51.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.30 / $16.22 / $28.18	Professional	TC	$12.30	$16.22	$28.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $60.26 / $107.15	Professional		$33.88	$60.26	$107.15
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $40.74 / $70.79	Professional	26	$27.54	$40.74	$70.79
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $23.44 / $40.74	Professional	TC	$16.98	$23.44	$40.74
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $30.20 / $30.20	Facility	26	$30.20	$30.20	$30.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $95.50	Professional		$33.11	$43.65	$95.50
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $28.18 / $58.88	Professional	26	$21.38	$28.18	$58.88
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $14.13 / $30.90	Professional	TC	$10.96	$14.13	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $46.77 / $77.62	Professional		$33.11	$46.77	$77.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $30.90 / $50.12	Professional	26	$22.39	$30.90	$50.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.72 / $16.60 / $28.18	Professional	TC	$10.72	$16.60	$28.18