Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.14 / $106.14 / $106.14	Facility	26	$106.14	$106.14	$106.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.54 / $475.00 / $631.08	Professional		$315.54	$475.00	$631.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.20 / $161.00 / $554.47	Professional	26	$98.20	$161.00	$554.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $221.71 / $335.00 / $422.10	Professional	TC	$221.71	$335.00	$422.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.94 / $802.07 / $1,002.59	Professional		$655.94	$802.07	$1,002.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $193.48 / $236.59 / $295.74	Professional	26	$193.48	$236.59	$295.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $462.46 / $565.49 / $706.86	Professional	TC	$462.46	$565.49	$706.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $472.94 / $729.12 / $6,025.38	Professional		$472.94	$729.12	$6,025.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $131.78 / $203.17 / $891.52	Professional	26	$131.78	$203.17	$891.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $341.16 / $525.95 / $5,457.89	Professional	TC	$341.16	$525.95	$5,457.89
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $352.65 / $352.65 / $352.65	Facility	26	$352.65	$352.65	$352.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $728.71 / $887.77 / $1,449.76	Professional		$728.71	$887.77	$1,449.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $486.10 / $648.13 / $900.24	Professional		$486.10	$648.13	$900.24
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $135.36 / $176.46 / $201.19	Professional	26	$135.36	$176.46	$201.19
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $343.88 / $461.24 / $725.20	Professional	TC	$343.88	$461.24	$725.20
United Facility/Professional Professional Modifier Low / Median / High Price $415.03 / $729.12 / $1,017.74	Professional		$415.03	$729.12	$1,017.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $123.04 / $197.68 / $237.51	Professional	26	$123.04	$197.68	$237.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $291.99 / $525.95 / $831.12	Professional	TC	$291.99	$525.95	$831.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $762.30 / $896.80 / $896.80	Professional		$762.30	$896.80	$896.80
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $231.50 / $272.39 / $272.39	Professional	26	$231.50	$272.39	$272.39
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $530.79 / $624.40 / $624.40	Professional	TC	$530.79	$624.40	$624.40