Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.89 / $8.89 / $8.89	Facility	26	$8.89	$8.89	$8.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.71 / $28.10 / $52.63	Professional		$27.71	$28.10	$52.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $13.05 / $28.48	Professional	26	$7.78	$13.05	$28.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.94 / $21.93 / $66.75	Professional	TC	$19.94	$21.93	$66.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $72.92 / $91.14	Professional		$59.63	$72.92	$91.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.86 / $19.39 / $24.24	Professional	26	$15.86	$19.39	$24.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.73 / $53.52 / $66.90	Professional	TC	$43.73	$53.52	$66.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $55.84 / $202.27	Professional		$33.50	$55.84	$202.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.08 / $16.80 / $111.75	Professional	26	$10.08	$16.80	$111.75
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.42 / $39.04 / $146.99	Professional	TC	$23.42	$39.04	$146.99
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $27.51 / $27.51 / $27.51	Facility	26	$27.51	$27.51	$27.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $66.72 / $79.39	Professional		$44.00	$66.72	$79.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $46.01 / $60.81	Professional		$33.47	$46.01	$60.81
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $10.30 / $14.16 / $16.82	Professional	26	$10.30	$14.16	$16.82
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $23.38 / $32.79 / $43.99	Professional	TC	$23.38	$32.79	$43.99
United Facility/Professional Professional Modifier Low / Median / High Price $34.02 / $45.36 / $58.63	Professional		$34.02	$45.36	$58.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.38 / $16.80 / $23.70	Professional	26	$10.38	$16.80	$23.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.47 / $31.14 / $40.99	Professional	TC	$21.47	$31.14	$40.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $63.10 / $63.10	Professional		$53.70	$63.10	$63.10
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $14.80 / $17.50 / $17.50	Professional	26	$14.80	$17.50	$17.50
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $38.79 / $45.70 / $45.70	Professional	TC	$38.79	$45.70	$45.70