Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.19 / $8.19 / $8.19	Facility	26	$8.19	$8.19	$8.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.48 / $31.70 / $64.80	Professional		$28.48	$31.70	$64.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.48 / $12.78 / $28.80	Professional	26	$7.48	$12.78	$28.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.35 / $30.84 / $66.75	Professional	TC	$21.35	$30.84	$66.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.17 / $76.02 / $95.02	Professional		$62.17	$76.02	$95.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.59 / $17.84 / $22.30	Professional	26	$14.59	$17.84	$22.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.78 / $58.18 / $72.72	Professional	TC	$44.78	$58.18	$72.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.07 / $56.34 / $206.66	Professional		$33.07	$56.34	$206.66
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.08 / $15.60 / $79.26	Professional	26	$10.08	$15.60	$79.26
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.99 / $40.24 / $161.00	Professional	TC	$22.99	$40.24	$161.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $26.55 / $26.55 / $26.55	Facility	26	$26.55	$26.55	$26.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $64.28 / $80.47	Professional		$51.00	$64.28	$80.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $47.27 / $63.40	Professional		$33.47	$47.27	$63.40
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $10.06 / $13.62 / $15.53	Professional	26	$10.06	$13.62	$15.53
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $23.26 / $35.69 / $47.87	Professional	TC	$23.26	$35.69	$47.87
United Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $46.30 / $57.91	Professional		$34.90	$46.30	$57.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.59 / $13.44 / $16.80	Professional	26	$9.59	$13.44	$16.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.44 / $33.22 / $69.88	Professional	TC	$27.44	$33.22	$69.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $65.80 / $65.80	Professional		$56.00	$65.80	$65.80
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $13.70 / $16.10 / $16.10	Professional	26	$13.70	$16.10	$16.10
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $42.20 / $49.70 / $49.70	Professional	TC	$42.20	$49.70	$49.70