Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.89 / $8.89 / $8.89	Facility	26	$8.89	$8.89	$8.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.44 / $30.60 / $42.97	Professional		$21.44	$30.60	$42.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.69 / $8.55 / $13.55	Professional	26	$7.69	$8.55	$13.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.75 / $22.05 / $30.39	Professional	TC	$13.75	$22.05	$30.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.04 / $55.07 / $68.84	Professional		$45.04	$55.07	$68.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.86 / $19.39 / $24.24	Professional	26	$15.86	$19.39	$24.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.18 / $35.68 / $44.60	Professional	TC	$29.18	$35.68	$44.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.08 / $51.23 / $203.00	Professional		$33.08	$51.23	$203.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.93 / $16.95 / $84.21	Professional	26	$10.93	$16.95	$84.21
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.93 / $34.28 / $165.00	Professional	TC	$21.93	$34.28	$165.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $31.16 / $31.16 / $31.16	Facility	26	$31.16	$31.16	$31.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $60.32 / $70.63	Professional		$49.00	$60.32	$70.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $40.85 / $49.55	Professional		$32.44	$40.85	$49.55
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $10.97 / $14.75 / $16.82	Professional	26	$10.97	$14.75	$16.82
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $21.09 / $27.68 / $33.61	Professional	TC	$21.09	$27.68	$33.61
United Facility/Professional Professional Modifier Low / Median / High Price $28.76 / $48.11 / $60.14	Professional		$28.76	$48.11	$60.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.38 / $14.18 / $18.22	Professional	26	$10.38	$14.18	$18.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.38 / $34.28 / $41.92	Professional	TC	$18.38	$34.28	$41.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.10 / $48.40 / $48.40	Professional		$41.10	$48.40	$48.40
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $14.80 / $17.50 / $17.50	Professional	26	$14.80	$17.50	$17.50
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $30.90 / $30.90	Professional	TC	$26.30	$30.90	$30.90