Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.53 / $8.53 / $8.53	Facility	26	$8.53	$8.53	$8.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $35.97 / $67.84	Professional		$34.11	$35.97	$67.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.90 / $32.04	Professional	26	$7.08	$8.90	$32.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.21 / $32.75 / $89.10	Professional	TC	$25.21	$32.75	$89.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.13 / $93.08 / $116.36	Professional		$76.13	$93.08	$116.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.23 / $18.62 / $23.27	Professional	26	$15.23	$18.62	$23.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.90 / $74.47 / $93.08	Professional	TC	$60.90	$74.47	$93.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.97 / $71.62 / $260.95	Professional		$42.97	$71.62	$260.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.51 / $16.26 / $83.63	Professional	26	$10.51	$16.26	$83.63
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $32.46 / $54.16 / $207.72	Professional	TC	$32.46	$54.16	$207.72
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $31.99 / $31.99 / $31.99	Facility	26	$31.99	$31.99	$31.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $82.28 / $99.68	Professional		$50.00	$82.28	$99.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $57.88 / $77.63	Professional		$39.47	$57.88	$77.63
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $10.68 / $14.19 / $16.17	Professional	26	$10.68	$14.19	$16.17
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $27.89 / $45.82 / $61.46	Professional	TC	$27.89	$45.82	$61.46
United Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $60.88 / $77.94	Professional		$43.00	$60.88	$77.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.59 / $14.89 / $18.88	Professional	26	$9.59	$14.89	$18.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.75 / $43.73 / $56.80	Professional	TC	$29.75	$43.73	$56.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $80.59 / $80.59	Professional		$68.50	$80.59	$80.59
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $14.30 / $16.80 / $16.80	Professional	26	$14.30	$16.80	$16.80
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $54.20 / $63.80 / $63.80	Professional	TC	$54.20	$63.80	$63.80