Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $10.96 / $16.60	Professional	26	$8.91	$10.96	$16.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $28.18 / $39.81	Professional	TC	$23.99	$28.18	$39.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $24.55 / $30.90	Professional	26	$19.50	$24.55	$30.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $64.57 / $81.28	Professional	TC	$51.29	$64.57	$81.28
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $17.38 / $77.62	Professional	26	$10.23	$17.38	$77.62
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $38.90 / $302.00	Professional	TC	$23.99	$38.90	$302.00
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $22.91 / $25.12	Professional	26	$21.38	$22.91	$25.12
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $56.23 / $57.54	Professional	TC	$51.29	$56.23	$57.54
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $23.44 / $23.44	Professional	26	$23.44	$23.44	$23.44
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $54.95 / $54.95	Professional	TC	$54.95	$54.95	$54.95
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $17.78 / $20.89	Professional	26	$13.18	$17.78	$20.89
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $38.90 / $51.29	Professional	TC	$28.18	$38.90	$51.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $18.62 / $24.55	Professional	26	$11.48	$18.62	$24.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $40.74 / $58.88	Professional	TC	$26.92	$40.74	$58.88
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $21.38 / $21.38	Professional	26	$18.20	$21.38	$21.38
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $53.70 / $53.70	Professional	TC	$45.71	$53.70	$53.70