Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.08 / $78.08 / $78.08	Facility	26	$78.08	$78.08	$78.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.35 / $380.45 / $543.33	Professional		$206.35	$380.45	$543.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.95 / $72.55 / $135.40	Professional	26	$65.95	$72.55	$135.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.66 / $314.49 / $456.29	Professional	TC	$138.66	$314.49	$456.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.11 / $525.91 / $657.41	Professional		$430.11	$525.91	$657.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $141.47 / $172.98 / $216.23	Professional	26	$141.47	$172.98	$216.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $288.64 / $352.94 / $441.18	Professional	TC	$288.64	$352.94	$441.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.66 / $455.80 / $2,036.01	Professional		$295.66	$455.80	$2,036.01
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $87.06 / $146.36 / $484.69	Professional	26	$87.06	$146.36	$484.69
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $198.08 / $305.38 / $2,005.00	Professional	TC	$198.08	$305.38	$2,005.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $226.53 / $226.53 / $226.53	Facility	26	$226.53	$226.53	$226.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $478.21 / $545.08 / $674.84	Professional		$478.21	$545.08	$674.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $305.05 / $413.01 / $471.42	Professional		$305.05	$413.01	$471.42
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $88.80 / $121.52 / $146.85	Professional	26	$88.80	$121.52	$146.85
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $208.12 / $273.50 / $337.42	Professional	TC	$208.12	$273.50	$337.42
United Facility/Professional Professional Modifier Low / Median / High Price $271.63 / $455.80 / $558.82	Professional		$271.63	$455.80	$558.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.06 / $146.36 / $173.91	Professional	26	$87.06	$146.36	$173.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $181.35 / $305.38 / $413.72	Professional	TC	$181.35	$305.38	$413.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $431.30 / $507.40 / $507.40	Professional		$431.30	$507.40	$507.40
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $145.69 / $171.40 / $171.40	Professional	26	$145.69	$171.40	$171.40
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $285.60 / $336.00 / $336.00	Professional	TC	$285.60	$336.00	$336.00