Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.43 / $6.43 / $6.43	Facility	26	$6.43	$6.43	$6.43
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.30 / $117.00 / $223.35	Facility	TC	$24.30	$117.00	$223.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $31.50 / $71.09	Professional		$18.00	$31.50	$71.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.87 / $6.22 / $31.15	Professional	26	$5.87	$6.22	$31.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.80 / $32.17 / $71.09	Professional	TC	$21.80	$32.17	$71.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.19 / $67.48 / $84.36	Professional		$55.19	$67.48	$84.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.42 / $13.96 / $17.45	Professional	26	$11.42	$13.96	$17.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.73 / $53.52 / $66.90	Professional	TC	$43.73	$53.52	$66.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $51.89 / $187.25	Professional		$31.07	$51.89	$187.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.92 / $12.27 / $54.49	Professional	26	$7.92	$12.27	$54.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.35 / $39.61 / $146.99	Professional	TC	$25.35	$39.61	$146.99
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $21.07 / $21.07 / $21.07	Facility	26	$21.07	$21.07	$21.07
Midlands Facility/Professional Facility Modifier TC Low / Median / High Price $77.66 / $77.66 / $77.66	Facility	TC	$77.66	$77.66	$77.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $61.91 / $73.26	Professional		$41.00	$61.91	$73.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $46.01 / $56.28	Professional		$33.47	$46.01	$56.28
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $8.15 / $10.78 / $12.29	Professional	26	$8.15	$10.78	$12.29
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $25.32 / $34.79 / $43.99	Professional	TC	$25.32	$34.79	$43.99
United Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $50.49 / $55.84	Professional		$33.50	$50.49	$55.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.56 / $13.20	Professional	26	$7.59	$10.56	$13.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $39.61 / $42.64	Professional	TC	$25.70	$39.61	$42.64
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 $10.80 / $12.80 / $12.80	Professional	26	$10.80	$12.80	$12.80
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $38.79 / $45.70 / $45.70	Professional	TC	$38.79	$45.70	$45.70