Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $41.69 / $87.10	Professional		$34.67	$41.69	$87.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.02 / $22.91	Professional	26	$10.00	$12.02	$22.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $28.84 / $50.12	Professional	TC	$23.99	$28.84	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $64.57 / $104.71	Professional		$39.81	$64.57	$104.71
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $17.38 / $28.84	Professional	26	$11.48	$17.38	$28.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $46.77 / $77.62	Professional	TC	$28.84	$46.77	$77.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.95 / $13.80 / $19.50	Facility	26	$2.95	$13.80	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $61.66 / $100.00	Professional		$42.66	$61.66	$100.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $17.38 / $28.84	Professional	26	$12.88	$17.38	$28.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $42.66 / $70.79	Professional	TC	$31.62	$42.66	$70.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $89.13 / $147.91	Professional		$53.70	$89.13	$147.91
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $21.88 / $35.48	Professional	26	$14.79	$21.88	$35.48
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $66.07 / $112.20	Professional	TC	$41.69	$66.07	$112.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $48.98 / $117.49	Professional		$38.90	$48.98	$117.49
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $14.45 / $33.88	Professional	26	$10.96	$14.45	$33.88
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $36.31 / $77.62	Professional	TC	$25.70	$36.31	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $102.33	Professional		$40.74	$58.88	$102.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $17.38 / $27.54	Professional	26	$12.59	$17.38	$27.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $42.66 / $72.44	Professional	TC	$27.54	$42.66	$72.44