Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.77 / $71.77 / $71.77	Facility	26	$71.77	$71.77	$71.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.87 / $475.00 / $598.50	Professional		$177.87	$475.00	$598.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.97 / $161.10 / $372.91	Professional	26	$65.97	$161.10	$372.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $115.69 / $335.00 / $2,593.80	Professional	TC	$115.69	$335.00	$2,593.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.11 / $453.78 / $567.23	Professional		$371.11	$453.78	$567.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $130.05 / $159.02 / $198.77	Professional	26	$130.05	$159.02	$198.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $241.06 / $294.77 / $368.46	Professional	TC	$241.06	$294.77	$368.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $262.14 / $404.13 / $3,174.82	Professional		$262.14	$404.13	$3,174.82
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $88.96 / $137.49 / $609.25	Professional	26	$88.96	$137.49	$609.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $172.96 / $266.64 / $2,772.01	Professional	TC	$172.96	$266.64	$2,772.01
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $252.77 / $252.77 / $252.77	Facility	26	$252.77	$252.77	$252.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $413.45 / $493.22 / $952.11	Professional		$413.45	$493.22	$952.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $268.16 / $357.08 / $442.43	Professional		$268.16	$357.08	$442.43
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $90.10 / $118.59 / $135.19	Professional	26	$90.10	$118.59	$135.19
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $175.45 / $228.63 / $293.77	Professional	TC	$175.45	$228.63	$293.77
United Facility/Professional Professional Modifier Low / Median / High Price $234.48 / $404.13 / $508.13	Professional		$234.48	$404.13	$508.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.09 / $137.49 / $180.65	Professional	26	$83.09	$137.49	$180.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.38 / $259.43 / $327.48	Professional	TC	$151.38	$259.43	$327.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $432.50 / $508.80 / $508.80	Professional		$432.50	$508.80	$508.80
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $155.60 / $183.00 / $183.00	Professional	26	$155.60	$183.00	$183.00
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $276.89 / $325.80 / $325.80	Professional	TC	$276.89	$325.80	$325.80