Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.99 / $10.99 / $10.99	Facility	26	$10.99	$10.99	$10.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.67 / $38.02 / $66.17	Professional		$35.67	$38.02	$66.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.98 / $13.19 / $37.79	Professional	26	$9.98	$13.19	$37.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.17 / $30.35 / $82.80	Professional	TC	$26.17	$30.35	$82.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $91.53 / $114.42	Professional		$74.86	$91.53	$114.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.67 / $24.05 / $30.06	Professional	26	$19.67	$24.05	$30.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.68 / $67.48 / $84.36	Professional	TC	$54.68	$67.48	$84.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.98 / $69.34 / $252.05	Professional		$40.98	$69.34	$252.05
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.10 / $21.61 / $92.47	Professional	26	$13.10	$21.61	$92.47
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.16 / $48.31 / $226.00	Professional	TC	$28.16	$48.31	$226.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $33.86 / $33.86 / $33.86	Facility	26	$33.86	$33.86	$33.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $80.40 / $99.10	Professional		$65.81	$80.40	$99.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $56.91 / $76.33	Professional		$41.77	$56.91	$76.33
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $13.30 / $17.98 / $20.70	Professional	26	$13.30	$17.98	$20.70
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $29.14 / $41.48 / $55.63	Professional	TC	$29.14	$41.48	$55.63
United Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $57.17 / $71.26	Professional		$42.38	$57.17	$71.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.78 / $18.16 / $22.91	Professional	26	$12.78	$18.16	$22.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.24 / $46.94 / $49.65	Professional	TC	$30.24	$46.94	$49.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $67.40 / $79.30 / $79.30	Professional		$67.40	$79.30	$79.30
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $18.30 / $21.50 / $21.50	Professional	26	$18.30	$21.50	$21.50
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $49.10 / $57.80 / $57.80	Professional	TC	$49.10	$57.80	$57.80