Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.24 / $9.24 / $9.24	Facility	26	$9.24	$9.24	$9.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $38.54 / $52.53	Professional		$25.98	$38.54	$52.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.99 / $10.15 / $14.07	Professional	26	$7.99	$10.15	$14.07
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.99 / $12.99 / $14.99	Professional	52	$12.99	$12.99	$14.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.98 / $28.39 / $34.51	Professional	TC	$17.98	$28.39	$34.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.56 / $66.70 / $83.39	Professional		$54.56	$66.70	$83.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.48 / $20.17 / $25.21	Professional	26	$16.48	$20.17	$25.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.06 / $46.54 / $58.18	Professional	TC	$38.06	$46.54	$58.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.56 / $57.91 / $216.00	Professional		$37.56	$57.91	$216.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.42 / $17.62 / $79.26	Professional	26	$11.42	$17.62	$79.26
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.14 / $40.29 / $205.00	Professional	TC	$26.14	$40.29	$205.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $37.04 / $37.04 / $37.04	Facility	26	$37.04	$37.04	$37.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.91 / $72.06 / $82.60	Professional		$61.91	$72.06	$82.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $49.36 / $58.99	Professional		$39.29	$49.36	$58.99
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $12.34 / $15.32 / $17.98	Professional	26	$12.34	$15.32	$17.98
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $26.96 / $34.04 / $40.70	Professional	TC	$26.96	$34.04	$40.70
United Facility/Professional Professional Modifier Low / Median / High Price $34.75 / $53.18 / $70.90	Professional		$34.75	$53.18	$70.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.79 / $17.14 / $22.16	Professional	26	$10.79	$17.14	$22.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.96 / $39.20 / $49.80	Professional	TC	$23.96	$39.20	$49.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $49.70 / $58.40 / $58.40	Professional		$49.70	$58.40	$58.40
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $15.40 / $18.10 / $18.10	Professional	26	$15.40	$18.10	$18.10
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $34.29 / $40.29 / $40.29	Professional	TC	$34.29	$40.29	$40.29