Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.22 / $58.22 / $58.22	Facility	26	$58.22	$58.22	$58.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.95 / $475.00 / $598.50	Professional		$201.95	$475.00	$598.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.11 / $140.00 / $266.11	Professional	26	$51.11	$140.00	$266.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $151.63 / $335.00 / $422.10	Professional	TC	$151.63	$335.00	$422.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.59 / $514.29 / $642.86	Professional		$420.59	$514.29	$642.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.31 / $128.77 / $160.96	Professional	26	$105.31	$128.77	$160.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $315.27 / $385.52 / $481.90	Professional	TC	$315.27	$385.52	$481.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $297.54 / $513.92 / $2,968.23	Professional		$297.54	$513.92	$2,968.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $71.98 / $110.96 / $505.24	Professional	26	$71.98	$110.96	$505.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $225.20 / $402.14 / $2,638.88	Professional	TC	$225.20	$402.14	$2,638.88
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $190.69 / $190.69 / $190.69	Facility	26	$190.69	$190.69	$190.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $466.82 / $617.38 / $870.00	Professional		$466.82	$617.38	$870.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $316.39 / $424.37 / $659.03	Professional		$316.39	$424.37	$659.03
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $73.37 / $97.81 / $108.68	Professional	26	$73.37	$97.81	$108.68
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $235.36 / $315.69 / $548.02	Professional	TC	$235.36	$315.69	$548.02
United Facility/Professional Professional Modifier Low / Median / High Price $265.63 / $457.30 / $790.66	Professional		$265.63	$457.30	$790.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.09 / $110.96 / $145.85	Professional	26	$67.09	$110.96	$145.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $198.53 / $346.34 / $670.24	Professional	TC	$198.53	$346.34	$670.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $488.30 / $574.50 / $574.50	Professional		$488.30	$574.50	$574.50
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $125.10 / $147.10 / $147.10	Professional	26	$125.10	$147.10	$147.10
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $363.30 / $427.40 / $427.40	Professional	TC	$363.30	$427.40	$427.40