Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.94 / $9.94 / $9.94	Facility	26	$9.94	$9.94	$9.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.71 / $30.42 / $36.15	Professional		$28.71	$30.42	$36.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.28 / $9.08 / $10.59	Professional	26	$8.28	$9.08	$10.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.41 / $21.35 / $25.56	Professional	TC	$20.41	$21.35	$25.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.90 / $74.47 / $93.08	Professional		$60.90	$74.47	$93.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.76 / $21.72 / $27.15	Professional	26	$17.76	$21.72	$27.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.01 / $52.75 / $65.93	Professional	TC	$43.01	$52.75	$65.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $57.91 / $206.60	Professional		$34.85	$57.91	$206.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.29 / $18.95 / $78.44	Professional	26	$12.29	$18.95	$78.44
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.99 / $38.32 / $193.00	Professional	TC	$22.99	$38.32	$193.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $33.19 / $33.19 / $33.19	Facility	26	$33.19	$33.19	$33.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.90 / $67.65 / $80.47	Professional		$56.90	$67.65	$80.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $48.96 / $62.10	Professional		$35.65	$48.96	$62.10
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $12.14 / $16.45 / $18.76	Professional	26	$12.14	$16.45	$18.76
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $23.26 / $32.31 / $43.34	Professional	TC	$23.26	$32.31	$43.34
United Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $47.54 / $59.42	Professional		$35.65	$47.54	$59.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.18 / $16.88 / $21.10	Professional	26	$11.18	$16.88	$21.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.87 / $30.60 / $38.96	Professional	TC	$23.87	$30.60	$38.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $54.80 / $64.50 / $64.50	Professional		$54.80	$64.50	$64.50
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $19.50 / $19.50	Professional	26	$16.60	$19.50	$19.50
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $38.29 / $45.00 / $45.00	Professional	TC	$38.29	$45.00	$45.00