Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.51 / $9.51 / $11.00	Professional	26	$9.51	$9.51	$11.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.35 / $24.35 / $28.57	Professional	TC	$24.35	$24.35	$28.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.67 / $24.05 / $30.06	Professional	26	$19.67	$24.05	$30.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.38 / $62.83 / $78.54	Professional	TC	$51.38	$62.83	$78.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.52 / $20.94 / $77.59	Professional	26	$13.52	$20.94	$77.59
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $29.02 / $48.96 / $300.00	Professional	TC	$29.02	$48.96	$300.00
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $13.40 / $18.16 / $20.70	Professional	26	$13.40	$18.16	$20.70
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $28.32 / $39.04 / $51.75	Professional	TC	$28.32	$39.04	$51.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.78 / $20.94 / $23.67	Professional	26	$12.78	$20.94	$23.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.51 / $48.36 / $50.32	Professional	TC	$31.51	$48.36	$50.32
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $18.30 / $21.50 / $21.50	Professional	26	$18.30	$21.50	$21.50
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $45.70 / $53.70 / $53.70	Professional	TC	$45.70	$53.70	$53.70