Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.69 / $181.63 / $567.45	Facility		$35.69	$181.63	$567.45
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 Facility Modifier TC Low / Median / High Price $27.50 / $27.50 / $27.50	Facility	TC	$27.50	$27.50	$27.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $31.00 / $69.30	Professional		$20.47	$31.00	$69.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.56 / $9.07 / $31.15	Professional	26	$7.56	$9.07	$31.15
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.26 / $15.26 / $17.85	Professional	52	$15.26	$15.26	$17.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.76 / $32.89 / $72.09	Professional	TC	$22.76	$32.89	$72.09
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 $14.59 / $17.84 / $22.30	Professional	26	$14.59	$17.84	$22.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.48 / $60.50 / $75.63	Professional	TC	$49.48	$60.50	$75.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.92 / $51.58 / $61.04	Facility		$37.92	$51.58	$61.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $58.95 / $217.55	Professional		$34.79	$58.95	$217.55
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.08 / $15.60 / $59.45	Professional	26	$10.08	$15.60	$59.45
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.71 / $43.24 / $166.53	Professional	TC	$24.71	$43.24	$166.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $55.33 / $70.56 / $114.35	Facility		$55.33	$70.56	$114.35
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $31.26 / $31.26 / $31.26	Facility	26	$31.26	$31.26	$31.26
Midlands Facility/Professional Facility Modifier TC Low / Median / High Price $74.81 / $74.81 / $74.81	Facility	TC	$74.81	$74.81	$74.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $70.56 / $85.27	Professional		$49.00	$70.56	$85.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $48.71 / $65.34	Professional		$35.18	$48.71	$65.34
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $13.62 / $15.53	Professional	26	$10.24	$13.62	$15.53
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $24.98 / $37.14 / $49.81	Professional	TC	$24.98	$37.14	$49.81
United Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $48.40 / $60.59	Professional		$36.29	$48.40	$60.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.59 / $15.60 / $17.64	Professional	26	$9.59	$15.60	$17.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.50 / $35.33 / $44.99	Professional	TC	$26.50	$35.33	$44.99
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 $13.70 / $16.10 / $16.10	Professional	26	$13.70	$16.10	$16.10
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $44.00 / $51.70 / $51.70	Professional	TC	$44.00	$51.70	$51.70