Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.78 / $87.78 / $87.78	Facility	26	$87.78	$87.78	$87.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.47 / $438.87 / $625.24	Professional		$239.47	$438.87	$625.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.12 / $87.03 / $237.63	Professional	26	$79.12	$87.03	$237.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $163.27 / $350.77 / $2,820.41	Professional	TC	$163.27	$350.77	$2,820.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $550.00 / $672.53 / $840.66	Professional		$550.00	$672.53	$840.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $159.86 / $195.48 / $244.35	Professional	26	$159.86	$195.48	$244.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $390.14 / $477.06 / $596.32	Professional	TC	$390.14	$477.06	$596.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $362.08 / $564.88 / $3,183.14	Professional		$362.08	$564.88	$3,183.14
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $109.37 / $168.46 / $334.80	Professional	26	$109.37	$168.46	$334.80
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $252.71 / $396.42 / $2,699.58	Professional	TC	$252.71	$396.42	$2,699.58
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $301.14 / $301.14 / $301.14	Facility	26	$301.14	$301.14	$301.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $556.23 / $648.00 / $795.05	Professional		$556.23	$648.00	$795.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $363.78 / $487.95 / $555.69	Professional		$363.78	$487.95	$555.69
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $108.60 / $145.82 / $166.25	Professional	26	$108.60	$145.82	$166.25
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $253.24 / $340.78 / $434.43	Professional	TC	$253.24	$340.78	$434.43
United Facility/Professional Professional Modifier Low / Median / High Price $331.90 / $549.61 / $623.26	Professional		$331.90	$549.61	$623.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $101.86 / $163.91 / $191.39	Professional	26	$101.86	$163.91	$191.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $244.06 / $396.42 / $457.96	Professional	TC	$244.06	$396.42	$457.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $551.29 / $648.50 / $648.50	Professional		$551.29	$648.50	$648.50
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $164.90 / $194.00 / $194.00	Professional	26	$164.90	$194.00	$194.00
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $386.30 / $454.50 / $454.50	Professional	TC	$386.30	$454.50	$454.50