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 Facility Modifier TC Low / Median / High Price $22.52 / $22.52 / $22.52	Facility	TC	$22.52	$22.52	$22.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $29.53 / $58.74	Professional		$26.28	$29.53	$58.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.30 / $29.70	Professional	26	$7.08	$8.30	$29.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.00 / $19.20 / $58.74	Professional	TC	$19.00	$19.20	$58.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.46 / $69.04 / $86.30	Professional		$56.46	$69.04	$86.30
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 $41.87 / $51.20 / $64.00	Professional	TC	$41.87	$51.20	$64.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $53.91 / $187.12	Professional		$32.36	$53.91	$187.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.08 / $15.60 / $51.02	Professional	26	$10.08	$15.60	$51.02
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.42 / $38.31 / $136.11	Professional	TC	$23.42	$38.31	$136.11
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $29.00 / $29.00 / $29.00	Facility	26	$29.00	$29.00	$29.00
Midlands Facility/Professional Facility Modifier TC Low / Median / High Price $65.20 / $65.20 / $65.20	Facility	TC	$65.20	$65.20	$65.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.33 / $62.73 / $73.26	Professional		$53.33	$62.73	$73.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $34.58 / $48.94 / $57.57	Professional		$34.58	$48.94	$57.57
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $8.65 / $13.62 / $15.53	Professional	26	$8.65	$13.62	$15.53
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $21.69 / $35.74 / $42.05	Professional	TC	$21.69	$35.74	$42.05
United Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $52.45 / $58.63	Professional		$34.97	$52.45	$58.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.59 / $15.60 / $16.80	Professional	26	$9.59	$15.60	$16.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.85 / $30.08 / $39.04	Professional	TC	$24.85	$30.08	$39.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.80 / $59.80 / $59.80	Professional		$50.80	$59.80	$59.80
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 $37.10 / $43.70 / $43.70	Professional	TC	$37.10	$43.70	$43.70