Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.48 / $7.48 / $7.48	Facility	26	$7.48	$7.48	$7.48
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $15.05 / $15.05 / $15.05	Facility	TC	$15.05	$15.05	$15.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $23.58 / $36.06	Professional		$19.32	$23.58	$36.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.48 / $7.24 / $11.39	Professional	26	$6.48	$7.24	$11.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.84 / $16.76 / $24.66	Professional	TC	$12.84	$16.76	$24.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $49.64 / $62.06	Professional		$40.60	$49.64	$62.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.32 / $16.29 / $20.36	Professional	26	$13.32	$16.29	$20.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.28 / $33.36 / $41.69	Professional	TC	$27.28	$33.36	$41.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $39.22 / $172.00	Professional		$25.44	$39.22	$172.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.25 / $14.26 / $72.64	Professional	26	$9.25	$14.26	$72.64
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $16.19 / $24.96 / $148.00	Professional	TC	$16.19	$24.96	$148.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $23.74 / $23.74 / $23.74	Facility	26	$23.74	$23.74	$23.74
Midlands Facility/Professional Facility Modifier TC Low / Median / High Price $54.76 / $54.76 / $54.76	Facility	TC	$54.76	$54.76	$54.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $48.25 / $54.05	Professional		$43.00	$48.25	$54.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $36.88 / $42.05	Professional		$27.89	$36.88	$42.05
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $9.60 / $12.48 / $14.23	Professional	26	$9.60	$12.48	$14.23
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $18.02 / $24.37 / $27.82	Professional	TC	$18.02	$24.37	$27.82
United Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $36.61 / $45.78	Professional		$25.44	$36.61	$45.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.78 / $12.06 / $16.07	Professional	26	$8.78	$12.06	$16.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.18 / $24.96 / $40.32	Professional	TC	$17.18	$24.96	$40.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $37.10 / $43.70 / $43.70	Professional		$37.10	$43.70	$43.70
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $12.60 / $14.80 / $14.80	Professional	26	$12.60	$14.80	$14.80
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $24.60 / $28.90 / $28.90	Professional	TC	$24.60	$28.90	$28.90