Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.46 / $56.46 / $56.46	Facility	26	$56.46	$56.46	$56.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.90 / $316.16 / $451.26	Professional		$155.90	$316.16	$451.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.87 / $53.36 / $159.31	Professional	26	$49.87	$53.36	$159.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $106.81 / $285.08 / $2,025.90	Professional	TC	$106.81	$285.08	$2,025.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.43 / $397.93 / $497.42	Professional		$325.43	$397.93	$497.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.77 / $125.66 / $157.08	Professional	26	$102.77	$125.66	$157.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $222.67 / $272.27 / $340.34	Professional	TC	$222.67	$272.27	$340.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $237.14 / $365.60 / $1,890.30	Professional		$237.14	$365.60	$1,890.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $75.01 / $115.65 / $215.10	Professional	26	$75.01	$115.65	$215.10
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $162.13 / $249.95 / $1,576.92	Professional	TC	$162.13	$249.95	$1,576.92
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $196.78 / $196.78 / $196.78	Facility	26	$196.78	$196.78	$196.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $361.50 / $437.67 / $594.00	Professional		$361.50	$437.67	$594.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $318.88 / $382.32	Professional		$239.16	$318.88	$382.32
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $75.18 / $93.05 / $106.09	Professional	26	$75.18	$93.05	$106.09
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $162.61 / $216.82 / $302.58	Professional	TC	$162.61	$216.82	$302.58
United Facility/Professional Professional Modifier Low / Median / High Price $205.32 / $365.60 / $461.64	Professional		$205.32	$365.60	$461.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.51 / $112.52 / $133.69	Professional	26	$65.51	$112.52	$133.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $139.81 / $249.95 / $336.92	Professional	TC	$139.81	$249.95	$336.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $326.00 / $383.50 / $383.50	Professional		$326.00	$383.50	$383.50
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $105.20 / $123.80 / $123.80	Professional	26	$105.20	$123.80	$123.80
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $220.80 / $259.70 / $259.70	Professional	TC	$220.80	$259.70	$259.70