Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.89 / $13.48 / $32.93	Facility	26	$12.89	$13.48	$32.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $45.54 / $75.79	Professional		$41.15	$45.54	$75.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.24 / $12.89 / $18.12	Professional	26	$11.24	$12.89	$18.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.92 / $32.65 / $57.68	Professional	TC	$29.92	$32.65	$57.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.53 / $58.92 / $92.61	Professional		$45.53	$58.92	$92.61
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.35 / $15.98 / $24.01	Professional	26	$12.35	$15.98	$24.01
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.03 / $42.74 / $68.59	Professional	TC	$33.03	$42.74	$68.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.55 / $13.55 / $13.55	Facility	26	$13.55	$13.55	$13.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $62.01 / $100.22	Professional		$47.25	$62.01	$100.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $17.52 / $26.92	Professional	26	$13.18	$17.52	$26.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.17 / $45.24 / $73.29	Professional	TC	$33.17	$45.24	$73.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $47.30 / $65.29 / $128.36	Professional		$47.30	$65.29	$128.36
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $12.96 / $16.70 / $26.13	Professional	26	$12.96	$16.70	$26.13
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $37.03 / $47.69 / $95.07	Professional	TC	$37.03	$47.69	$95.07
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $12.89 / $16.21 / $32.93	Facility	26	$12.89	$16.21	$32.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $46.22 / $77.63	Professional		$41.29	$46.22	$77.63
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $11.57 / $12.89 / $19.21	Professional	26	$11.57	$12.89	$19.21
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $29.92 / $33.28 / $57.68	Professional	TC	$29.92	$33.28	$57.68
United Facility/Professional Professional Modifier Low / Median / High Price $41.06 / $57.54 / $91.39	Professional		$41.06	$57.54	$91.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.25 / $17.46 / $23.60	Professional	26	$12.25	$17.46	$23.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.81 / $41.22 / $67.79	Professional	TC	$28.81	$41.22	$67.79