Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.06 / $71.06 / $71.06	Facility	26	$71.06	$71.06	$71.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.70 / $247.70 / $522.50	Professional		$247.70	$247.70	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.88 / $61.88 / $154.00	Professional	26	$61.88	$61.88	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $185.82 / $185.82 / $368.50	Professional	TC	$185.82	$185.82	$368.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.31 / $625.21 / $781.52	Professional		$511.31	$625.21	$781.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.78 / $157.47 / $196.83	Professional	26	$128.78	$157.47	$196.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $382.53 / $467.75 / $584.67	Professional	TC	$382.53	$467.75	$584.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $373.18 / $575.30 / $2,872.81	Professional		$373.18	$575.30	$2,872.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $88.36 / $136.83 / $548.98	Professional	26	$88.36	$136.83	$548.98
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $284.42 / $438.48 / $2,498.98	Professional	TC	$284.42	$438.48	$2,498.98
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $230.42 / $230.42 / $230.42	Facility	26	$230.42	$230.42	$230.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $567.16 / $669.83 / $897.00	Professional		$567.16	$669.83	$897.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $379.68 / $489.84 / $563.74	Professional		$379.68	$489.84	$563.74
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $86.38 / $117.45 / $133.91	Professional	26	$86.38	$117.45	$133.91
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $284.56 / $362.61 / $455.57	Professional	TC	$284.56	$362.61	$455.57
United Facility/Professional Professional Modifier Low / Median / High Price $325.55 / $575.30 / $679.77	Professional		$325.55	$575.30	$679.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.69 / $136.83 / $179.83	Professional	26	$82.69	$136.83	$179.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $242.86 / $438.48 / $538.50	Professional	TC	$242.86	$438.48	$538.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $593.29 / $698.00 / $698.00	Professional		$593.29	$698.00	$698.00
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $154.10 / $181.30 / $181.30	Professional	26	$154.10	$181.30	$181.30
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $439.20 / $516.70 / $516.70	Professional	TC	$439.20	$516.70	$516.70