Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.18 / $8.18 / $8.18	Facility	26	$8.18	$8.18	$8.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.82 / $29.92 / $56.77	Professional		$29.82	$29.92	$56.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $7.78 / $12.99	Professional	26	$7.08	$7.78	$12.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.05 / $22.83 / $43.78	Professional	TC	$22.05	$22.83	$43.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.06 / $78.34 / $97.93	Professional		$64.06	$78.34	$97.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.23 / $18.62 / $23.27	Professional	26	$15.23	$18.62	$23.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.39 / $59.73 / $74.66	Professional	TC	$47.39	$59.73	$74.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $57.64 / $210.99	Professional		$33.94	$57.64	$210.99
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.52 / $16.26 / $82.56	Professional	26	$10.52	$16.26	$82.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.42 / $40.99 / $159.97	Professional	TC	$23.42	$40.99	$159.97
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $27.69 / $27.69 / $27.69	Facility	26	$27.69	$27.69	$27.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $68.30 / $82.86	Professional		$52.00	$68.30	$82.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $48.71 / $65.34	Professional		$33.90	$48.71	$65.34
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $10.51 / $14.19 / $16.17	Professional	26	$10.51	$14.19	$16.17
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $23.69 / $36.65 / $49.16	Professional	TC	$23.69	$36.65	$49.16
United Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $56.56 / $60.83	Professional		$35.56	$56.56	$60.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.59 / $14.02 / $18.39	Professional	26	$9.59	$14.02	$18.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.32 / $33.76 / $42.98	Professional	TC	$25.32	$33.76	$42.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $57.70 / $67.80 / $67.80	Professional		$57.70	$67.80	$67.80
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $14.30 / $16.80 / $16.80	Professional	26	$14.30	$16.80	$16.80
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $43.40 / $51.00 / $51.00	Professional	TC	$43.40	$51.00	$51.00