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 $33.29 / $35.07 / $65.38	Professional		$33.29	$35.07	$65.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.69 / $8.89 / $13.48	Professional	26	$7.69	$8.89	$13.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.87 / $27.38 / $51.90	Professional	TC	$24.87	$27.38	$51.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.59 / $89.98 / $112.48	Professional		$73.59	$89.98	$112.48
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 $54.96 / $70.59 / $88.24	Professional	TC	$54.96	$70.59	$88.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $66.09 / $293.00	Professional		$39.53	$66.09	$293.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.93 / $16.95 / $55.28	Professional	26	$10.93	$16.95	$55.28
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.60 / $49.61 / $283.00	Professional	TC	$28.60	$49.61	$283.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $28.87 / $28.87 / $28.87	Facility	26	$28.87	$28.87	$28.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $76.19 / $97.28	Professional		$53.00	$76.19	$97.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $55.95 / $75.04	Professional		$39.31	$55.95	$75.04
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $10.97 / $14.75 / $16.82	Professional	26	$10.97	$14.75	$16.82
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $28.32 / $43.41 / $58.22	Professional	TC	$28.32	$43.41	$58.22
United Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $54.27 / $67.93	Professional		$41.68	$54.27	$67.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.38 / $16.48 / $18.22	Professional	26	$10.38	$16.48	$18.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.04 / $40.04 / $50.98	Professional	TC	$31.04	$40.04	$50.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $77.90 / $77.90	Professional		$66.20	$77.90	$77.90
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 $51.40 / $60.50 / $60.50	Professional	TC	$51.40	$60.50	$60.50