Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $25.12 / $112.20	Facility	26	$25.12	$25.12	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $67.61 / $208.93	Professional		$54.95	$67.61	$208.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $20.89 / $77.62	Professional	26	$15.85	$20.89	$77.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $44.67 / $74.13	Professional	TC	$38.02	$44.67	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $120.23	Professional		$52.48	$69.18	$120.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $20.42 / $38.02	Professional	26	$16.22	$20.42	$38.02
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $47.86 / $85.11	Professional	TC	$35.48	$47.86	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $144.54	Professional		$64.57	$91.20	$144.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $25.70 / $43.65	Professional	26	$20.42	$25.70	$43.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $64.57 / $100.00	Professional	TC	$44.67	$64.57	$100.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $186.21	Professional		$67.61	$97.72	$186.21
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $27.54 / $52.48	Professional	26	$19.50	$27.54	$52.48
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $67.61 / $131.83	Professional	TC	$48.98	$67.61	$131.83
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $25.12 / $112.20	Facility	26	$25.12	$25.12	$112.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $186.21	Professional		$57.54	$75.86	$186.21
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $22.91 / $57.54	Professional	26	$16.98	$22.91	$57.54
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $50.12 / $104.71	Professional	TC	$38.02	$50.12	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $141.25	Professional		$57.54	$87.10	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $26.92 / $41.69	Professional	26	$19.05	$26.92	$41.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $60.26 / $102.33	Professional	TC	$40.74	$60.26	$102.33