Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.83 / $7.83 / $7.83	Facility	26	$7.83	$7.83	$7.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $23.94 / $40.61	Professional		$21.74	$23.94	$40.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.78 / $11.89 / $21.36	Professional	26	$6.78	$11.89	$21.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.96 / $17.89 / $47.17	Professional	TC	$14.96	$17.89	$47.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.68 / $55.85 / $69.81	Professional		$45.68	$55.85	$69.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.96 / $17.07 / $21.33	Professional	26	$13.96	$17.07	$21.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.72 / $38.79 / $48.48	Professional	TC	$31.72	$38.79	$48.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.18 / $43.64 / $542.00	Professional		$26.18	$43.64	$542.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.22 / $14.93 / $62.74	Professional	26	$9.22	$14.93	$62.74
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $16.96 / $28.81 / $498.00	Professional	TC	$16.96	$28.81	$498.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $25.54 / $25.54 / $25.54	Facility	26	$25.54	$25.54	$25.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $50.95 / $61.25	Professional		$41.84	$50.95	$61.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.70 / $35.97 / $47.22	Professional		$26.70	$35.97	$47.22
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $9.44 / $12.76 / $14.88	Professional	26	$9.44	$12.76	$14.88
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $17.28 / $24.12 / $32.35	Professional	TC	$17.28	$24.12	$32.35
United Facility/Professional Professional Modifier Low / Median / High Price $26.18 / $35.81 / $44.55	Professional		$26.18	$35.81	$44.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $14.53 / $16.39	Professional	26	$9.19	$14.53	$16.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.21 / $28.81 / $30.23	Professional	TC	$19.21	$28.81	$30.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.70 / $49.00 / $49.00	Professional		$41.70	$49.00	$49.00
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $13.10 / $15.40 / $15.40	Professional	26	$13.10	$15.40	$15.40
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $28.50 / $33.60 / $33.60	Professional	TC	$28.50	$33.60	$33.60