Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $46.77 / $46.77	Facility	26	$46.77	$46.77	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $125.89	Professional		$75.86	$89.13	$125.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $46.77 / $117.49	Professional	26	$38.02	$46.77	$117.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $42.66 / $64.57	Professional	TC	$36.31	$42.66	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $165.96	Professional		$64.57	$95.50	$165.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $48.98 / $83.18	Professional	26	$33.88	$48.98	$83.18
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $47.86 / $83.18	Professional	TC	$28.84	$47.86	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $125.89 / $194.98	Professional		$67.61	$125.89	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $61.66 / $102.33	Professional	26	$50.12	$61.66	$102.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $60.26 / $97.72	Professional	TC	$15.85	$60.26	$97.72
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $128.82 / $257.04	Professional		$70.79	$128.82	$257.04
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $66.07 / $125.89	Professional	26	$46.77	$66.07	$125.89
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $67.61 / $144.54	Professional	TC	$48.98	$67.61	$144.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $229.09	Professional		$77.62	$95.50	$229.09
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $51.29 / $134.90	Professional	26	$40.74	$51.29	$134.90
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $45.71 / $100.00	Professional	TC	$34.67	$45.71	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $199.53	Professional		$85.11	$123.03	$199.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $64.57 / $97.72	Professional	26	$45.71	$64.57	$97.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $57.54 / $102.33	Professional	TC	$33.88	$57.54	$102.33