Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.79 / $78.79 / $78.79	Facility	26	$78.79	$78.79	$78.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $346.49 / $546.25	Professional		$77.91	$346.49	$546.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.31 / $145.34 / $372.00	Professional	26	$68.31	$145.34	$372.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $226.05 / $294.30 / $452.10	Professional	TC	$226.05	$294.30	$452.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $610.27 / $746.22 / $932.78	Professional		$610.27	$746.22	$932.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $143.37 / $175.31 / $219.14	Professional	26	$143.37	$175.31	$219.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $466.90 / $570.91 / $713.64	Professional	TC	$466.90	$570.91	$713.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $443.48 / $683.70 / $3,348.15	Professional		$443.48	$683.70	$3,348.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $97.57 / $151.11 / $597.70	Professional	26	$97.57	$151.11	$597.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $345.46 / $532.59 / $2,941.88	Professional	TC	$345.46	$532.59	$2,941.88
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $259.74 / $259.74 / $259.74	Facility	26	$259.74	$259.74	$259.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $676.04 / $829.06 / $1,046.00	Professional		$676.04	$829.06	$1,046.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $449.59 / $583.87 / $705.47	Professional		$449.59	$583.87	$705.47
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $99.91 / $129.93 / $148.13	Professional	26	$99.91	$129.93	$148.13
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $344.50 / $443.13 / $569.16	Professional	TC	$344.50	$443.13	$569.16
United Facility/Professional Professional Modifier Low / Median / High Price $386.66 / $665.23 / $835.81	Professional		$386.66	$665.23	$835.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.08 / $151.11 / $175.18	Professional	26	$91.08	$151.11	$175.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $295.58 / $532.59 / $635.16	Professional	TC	$295.58	$532.59	$635.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $707.20 / $832.00 / $832.00	Professional		$707.20	$832.00	$832.00
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $170.50 / $200.60 / $200.60	Professional	26	$170.50	$200.60	$200.60
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $536.70 / $631.50 / $631.50	Professional	TC	$536.70	$631.50	$631.50