Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.53 / $8.53 / $8.53	Facility	26	$8.53	$8.53	$8.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.01 / $34.36 / $99.68	Professional		$29.01	$34.36	$99.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.39 / $9.11 / $29.70	Professional	26	$7.39	$9.11	$29.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.62 / $25.42 / $71.09	Professional	TC	$21.62	$25.42	$71.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.53 / $75.23 / $94.05	Professional		$61.53	$75.23	$94.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.23 / $18.62 / $23.27	Professional	26	$15.23	$18.62	$23.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.21 / $56.63 / $70.78	Professional	TC	$45.21	$56.63	$70.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $57.24 / $208.83	Professional		$34.36	$57.24	$208.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.51 / $16.26 / $66.04	Professional	26	$10.51	$16.26	$66.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.14 / $40.98 / $188.00	Professional	TC	$25.14	$40.98	$188.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $27.53 / $27.53 / $27.53	Facility	26	$27.53	$27.53	$27.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.75 / $69.04 / $80.47	Professional		$56.75	$69.04	$80.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $36.18 / $48.96 / $62.75	Professional		$36.18	$48.96	$62.75
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $10.51 / $14.19 / $16.17	Professional	26	$10.51	$14.19	$16.17
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $25.40 / $34.72 / $46.58	Professional	TC	$25.40	$34.72	$46.58
United Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $45.82 / $59.42	Professional		$34.36	$45.82	$59.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.99 / $13.65 / $17.52	Professional	26	$9.99	$13.65	$17.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.58 / $40.98 / $43.99	Professional	TC	$26.58	$40.98	$43.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $55.40 / $65.20 / $65.20	Professional		$55.40	$65.20	$65.20
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $14.30 / $16.80 / $16.80	Professional	26	$14.30	$16.80	$16.80
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $41.10 / $48.40 / $48.40	Professional	TC	$41.10	$48.40	$48.40