Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.94 / $9.94 / $9.94	Facility	26	$9.94	$9.94	$9.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.29 / $21.21 / $81.00	Professional		$16.29	$21.21	$81.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.60 / $9.73 / $49.50	Professional	26	$8.60	$9.73	$49.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.69 / $11.48 / $15.39	Professional	TC	$7.69	$11.48	$15.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.53 / $43.44 / $54.30	Professional		$35.53	$43.44	$54.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.39 / $22.50 / $28.12	Professional	26	$18.39	$22.50	$28.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.13 / $20.94 / $26.18	Professional	TC	$17.13	$20.94	$26.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.84 / $35.21 / $206.87	Professional		$22.84	$35.21	$206.87
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.72 / $19.61 / $105.66	Professional	26	$12.72	$19.61	$105.66
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $10.11 / $15.60 / $129.58	Professional	TC	$10.11	$15.60	$129.58
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $34.50 / $34.50 / $34.50	Facility	26	$34.50	$34.50	$34.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $43.77 / $58.00	Professional		$39.36	$43.77	$58.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $24.22 / $32.60 / $36.86	Professional		$24.22	$32.60	$36.86
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $12.79 / $17.02 / $19.41	Professional	26	$12.79	$17.02	$19.41
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $10.73 / $14.85 / $17.47	Professional	TC	$10.73	$14.85	$17.47
United Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $32.83 / $41.04	Professional		$21.97	$32.83	$41.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.33 / $16.43 / $22.10	Professional	26	$10.33	$16.43	$22.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.11 / $15.17 / $19.88	Professional	TC	$10.11	$15.17	$19.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $38.29 / $38.29	Professional		$32.50	$38.29	$38.29
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $17.10 / $20.20 / $20.20	Professional	26	$17.10	$20.20	$20.20
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $15.40 / $18.10 / $18.10	Professional	TC	$15.40	$18.10	$18.10