Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.92 / $23.92 / $30.07	Facility	26	$23.92	$23.92	$30.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $34.97 / $55.39	Professional		$33.32	$34.97	$55.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.69 / $23.92 / $33.63	Professional	26	$21.69	$23.92	$33.63
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $17.34 / $17.48 / $18.44	Professional	52	$17.34	$17.48	$18.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.05 / $12.19 / $21.76	Professional	TC	$11.05	$12.19	$21.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.58 / $44.75 / $70.66	Professional		$34.58	$44.75	$70.66
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.94 / $29.68 / $44.59	Professional	26	$22.94	$29.68	$44.59
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $12.29 / $15.05 / $26.07	Professional	TC	$12.29	$15.05	$26.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.15 / $25.15 / $25.15	Facility	26	$25.15	$25.15	$25.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.21 / $48.47 / $75.36	Professional		$36.21	$48.47	$75.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.47 / $31.60 / $50.00	Professional	26	$24.47	$31.60	$50.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.42 / $16.05 / $26.61	Professional	TC	$12.42	$16.05	$26.61
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $42.88 / $82.61	Professional		$31.00	$42.88	$82.61
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $24.07 / $27.06 / $61.79	Professional	26	$24.07	$27.06	$61.79
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $15.56 / $18.12 / $30.47	Professional	TC	$15.56	$18.12	$30.47
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $30.07 / $30.07 / $30.07	Facility	26	$30.07	$30.07	$30.07
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $36.86 / $56.60	Professional		$33.32	$36.86	$56.60
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $22.01 / $24.10 / $35.65	Professional	26	$22.01	$24.10	$35.65
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $17.34 / $17.48 / $18.44	Professional	52	$17.34	$17.48	$18.44
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $11.05 / $12.55 / $21.95	Professional	TC	$11.05	$12.55	$21.95
United Facility/Professional Professional Modifier Low / Median / High Price $28.86 / $47.85 / $68.97	Professional		$28.86	$47.85	$68.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.58 / $32.40 / $43.80	Professional	26	$22.58	$32.40	$43.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.66 / $15.11 / $23.66	Professional	TC	$9.66	$15.11	$23.66