Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.58 / $9.58 / $9.58	Facility	26	$9.58	$9.58	$9.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.22 / $32.14 / $55.96	Professional		$30.22	$32.14	$55.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.28 / $9.93 / $36.00	Professional	26	$8.28	$9.93	$36.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.93 / $25.72 / $66.75	Professional	TC	$21.93	$25.72	$66.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.44 / $77.56 / $96.96	Professional		$63.44	$77.56	$96.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.13 / $20.94 / $26.18	Professional	26	$17.13	$20.94	$26.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.56 / $56.63 / $70.78	Professional	TC	$45.56	$56.63	$70.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $58.95 / $217.42	Professional		$35.22	$58.95	$217.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.23 / $18.95 / $72.64	Professional	26	$12.23	$18.95	$72.64
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.99 / $40.24 / $199.00	Professional	TC	$22.99	$40.24	$199.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $32.04 / $32.04 / $32.04	Facility	26	$32.04	$32.04	$32.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $69.30 / $84.07	Professional		$56.28	$69.30	$84.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $48.37 / $64.69	Professional		$35.75	$48.37	$64.69
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $12.44 / $15.89 / $18.11	Professional	26	$12.44	$15.89	$18.11
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $24.74 / $34.72 / $46.58	Professional	TC	$24.74	$34.72	$46.58
United Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $48.61 / $60.59	Professional		$35.97	$48.61	$60.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.18 / $17.32 / $21.40	Professional	26	$11.18	$17.32	$21.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.87 / $32.70 / $41.64	Professional	TC	$25.87	$32.70	$41.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $57.10 / $67.20 / $67.20	Professional		$57.10	$67.20	$67.20
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $16.00 / $18.80 / $18.80	Professional	26	$16.00	$18.80	$18.80
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $41.10 / $48.40 / $48.40	Professional	TC	$41.10	$48.40	$48.40