Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.89 / $8.89 / $8.89	Facility	26	$8.89	$8.89	$8.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.76 / $31.64 / $41.46	Professional		$28.76	$31.64	$41.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.39 / $10.25 / $34.71	Professional	26	$7.39	$10.25	$34.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $16.23 / $16.23 / $16.23	Professional	50	$16.23	$16.23	$16.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.00 / $21.93 / $30.39	Professional	TC	$21.00	$21.93	$30.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.80 / $76.79 / $95.99	Professional		$62.80	$76.79	$95.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.86 / $19.39 / $24.24	Professional	26	$15.86	$19.39	$24.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.59 / $57.40 / $71.75	Professional	TC	$45.59	$57.40	$71.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.07 / $55.69 / $208.77	Professional		$33.07	$55.69	$208.77
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.08 / $15.60 / $82.56	Professional	26	$10.08	$15.60	$82.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.99 / $40.24 / $153.47	Professional	TC	$22.99	$40.24	$153.47
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $27.35 / $27.35 / $27.35	Facility	26	$27.35	$27.35	$27.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $65.17 / $82.28	Professional		$44.00	$65.17	$82.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.21 / $47.75 / $64.04	Professional		$33.21	$47.75	$64.04
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $10.30 / $14.16 / $16.82	Professional	26	$10.30	$14.16	$16.82
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $23.26 / $35.21 / $47.22	Professional	TC	$23.26	$35.21	$47.22
United Facility/Professional Professional Modifier Low / Median / High Price $37.13 / $55.12 / $92.62	Professional		$37.13	$55.12	$92.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.98 / $14.28 / $18.07	Professional	26	$9.98	$14.28	$18.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.00 / $38.32 / $47.90	Professional	TC	$26.00	$38.32	$47.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $66.50 / $66.50	Professional		$56.50	$66.50	$66.50
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $14.80 / $17.50 / $17.50	Professional	26	$14.80	$17.50	$17.50
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $41.70 / $49.00 / $49.00	Professional	TC	$41.70	$49.00	$49.00