Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.08 / $80.08 / $80.08	Facility	26	$80.08	$80.08	$80.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.23 / $348.06 / $382.87	Professional		$294.23	$348.06	$382.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.08 / $91.48 / $100.63	Professional	26	$80.08	$91.48	$100.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $208.95 / $256.57 / $282.23	Professional	TC	$208.95	$256.57	$282.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $605.52 / $650.54 / $813.19	Professional		$605.52	$650.54	$813.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $177.08 / $187.76 / $234.70	Professional	26	$177.08	$187.76	$234.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $423.59 / $462.79 / $578.48	Professional	TC	$423.59	$462.79	$578.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $318.39 / $549.49 / $2,227.92	Professional		$318.39	$549.49	$2,227.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $102.30 / $170.50 / $684.00	Professional	26	$102.30	$170.50	$684.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $216.10 / $387.24 / $1,600.96	Professional	TC	$216.10	$387.24	$1,600.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $403.00 / $605.52 / $811.87	Professional		$403.00	$605.52	$811.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $318.79 / $457.52 / $538.22	Professional		$318.79	$457.52	$538.22
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $106.39 / $141.85 / $161.72	Professional	26	$106.39	$141.85	$161.72
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $221.96 / $320.04 / $376.50	Professional	TC	$221.96	$320.04	$376.50
United Facility/Professional Professional Modifier Low / Median / High Price $358.11 / $610.05 / $822.08	Professional		$358.11	$610.05	$822.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $107.32 / $170.50 / $237.24	Professional	26	$107.32	$170.50	$237.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $234.26 / $375.97 / $584.84	Professional	TC	$234.26	$375.97	$584.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $533.90 / $628.20 / $653.29	Professional		$533.90	$628.20	$653.29
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $160.40 / $188.80 / $196.30	Professional	26	$160.40	$188.80	$196.30
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $373.50 / $439.40 / $457.00	Professional	TC	$373.50	$439.40	$457.00