Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.04 / $12.04 / $12.04	Facility	26	$12.04	$12.04	$12.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $42.55 / $57.64	Professional		$39.31	$42.55	$57.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.41 / $12.04 / $16.30	Professional	26	$10.41	$12.04	$16.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.39 / $29.89 / $41.34	Professional	TC	$28.39	$29.89	$41.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.10 / $101.62 / $127.02	Professional		$83.10	$101.62	$127.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.20 / $27.15 / $33.94	Professional	26	$22.20	$27.15	$33.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.66 / $74.47 / $93.08	Professional	TC	$59.66	$74.47	$93.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.56 / $76.48 / $282.36	Professional		$45.56	$76.48	$282.36
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.24 / $23.61 / $90.81	Professional	26	$15.24	$23.61	$90.81
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.32 / $53.07 / $211.00	Professional	TC	$30.32	$53.07	$211.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $40.26 / $40.26 / $40.26	Facility	26	$40.26	$40.26	$40.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $89.22 / $111.69	Professional		$66.00	$89.22	$111.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $45.48 / $63.18 / $84.74	Professional		$45.48	$63.18	$84.74
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $15.44 / $20.43 / $23.29	Professional	26	$15.44	$20.43	$23.29
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $30.58 / $45.82 / $61.46	Professional	TC	$30.58	$45.82	$61.46
United Facility/Professional Professional Modifier Low / Median / High Price $47.28 / $63.04 / $91.82	Professional		$47.28	$63.04	$91.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.98 / $22.97 / $26.67	Professional	26	$13.98	$22.97	$26.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.90 / $43.20 / $55.00	Professional	TC	$32.90	$43.20	$55.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $74.80 / $88.00 / $88.00	Professional		$74.80	$88.00	$88.00
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $20.60 / $24.20 / $24.20	Professional	26	$20.60	$24.20	$24.20
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $54.20 / $63.80 / $63.80	Professional	TC	$54.20	$63.80	$63.80