Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.29 / $10.29 / $10.29	Facility	26	$10.29	$10.29	$10.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $36.67 / $58.21	Professional		$31.13	$36.67	$58.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.50 / $10.75 / $40.04	Professional	26	$9.50	$10.75	$40.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.23 / $25.92 / $69.42	Professional	TC	$22.23	$25.92	$69.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.98 / $80.67 / $100.84	Professional		$65.98	$80.67	$100.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.39 / $22.50 / $28.12	Professional	26	$18.39	$22.50	$28.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.39 / $58.18 / $72.72	Professional	TC	$47.39	$58.18	$72.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.52 / $61.54 / $223.92	Professional		$36.52	$61.54	$223.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.10 / $20.28 / $92.47	Professional	26	$13.10	$20.28	$92.47
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.42 / $40.99 / $211.00	Professional	TC	$23.42	$40.99	$211.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $36.72 / $36.72 / $36.72	Facility	26	$36.72	$36.72	$36.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $58.44 / $74.12 / $86.47	Professional		$58.44	$74.12	$86.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $40.33 / $55.45 / $67.28	Professional		$40.33	$55.45	$67.28
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $13.36 / $17.02 / $19.73	Professional	26	$13.36	$17.02	$19.73
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $25.74 / $35.69 / $47.87	Professional	TC	$25.74	$35.69	$47.87
United Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $51.73 / $63.90	Professional		$37.79	$51.73	$63.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.99 / $19.73 / $21.82	Professional	26	$11.99	$19.73	$21.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.06 / $33.76 / $42.97	Professional	TC	$27.06	$33.76	$42.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $69.90 / $69.90	Professional		$59.40	$69.90	$69.90
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $17.10 / $20.20 / $20.20	Professional	26	$17.10	$20.20	$20.20
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $42.20 / $49.70 / $49.70	Professional	TC	$42.20	$49.70	$49.70