Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $7.94 / $7.94	Facility	26	$7.94	$7.94	$7.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $97.72	Professional		$28.84	$36.31	$97.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.96 / $29.51	Professional	26	$7.94	$10.96	$29.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $28.84 / $70.79	Professional	TC	$21.88	$28.84	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $95.50	Professional		$61.66	$77.62	$95.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $19.05 / $23.99	Professional	26	$15.14	$19.05	$23.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $57.54 / $72.44	Professional	TC	$46.77	$57.54	$72.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $44.67 / $85.11	Professional		$30.90	$44.67	$85.11
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $13.80 / $24.55	Professional	26	$8.71	$13.80	$24.55
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $32.36 / $186.21	Professional	TC	$20.89	$32.36	$186.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $69.18 / $69.18	Professional		$63.10	$69.18	$69.18
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $17.78 / $20.42	Professional	26	$16.98	$17.78	$20.42
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $48.98 / $51.29	Professional	TC	$45.71	$48.98	$51.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $18.20 / $18.20	Professional	26	$18.20	$18.20	$18.20
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $45.71 / $45.71	Professional	TC	$45.71	$45.71	$45.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $48.98 / $63.10	Professional		$36.31	$48.98	$63.10
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $14.13 / $16.22	Professional	26	$10.47	$14.13	$16.22
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $34.67 / $46.77	Professional	TC	$26.30	$34.67	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.13 / $19.05	Professional	26	$8.91	$14.13	$19.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $35.48 / $52.48	Professional	TC	$23.99	$35.48	$52.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $64.57	Professional		$54.95	$64.57	$64.57
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $16.98 / $16.98	Professional	26	$14.45	$16.98	$16.98
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $47.86 / $47.86	Professional	TC	$40.74	$47.86	$47.86