Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.71 / $86.71 / $86.71	Facility	26	$86.71	$86.71	$86.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.62 / $475.00 / $576.96	Professional		$314.62	$475.00	$576.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.28 / $131.28 / $140.00	Professional	26	$75.28	$131.28	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $239.34 / $335.00 / $445.68	Professional	TC	$239.34	$335.00	$445.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $657.21 / $803.63 / $1,004.53	Professional		$657.21	$803.63	$1,004.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $157.96 / $193.15 / $241.44	Professional	26	$157.96	$193.15	$241.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $499.25 / $610.48 / $763.09	Professional	TC	$499.25	$610.48	$763.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.90 / $721.35 / $3,018.44	Professional		$467.90	$721.35	$3,018.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $107.98 / $166.46 / $850.86	Professional	26	$107.98	$166.46	$850.86
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $359.92 / $554.89 / $2,546.60	Professional	TC	$359.92	$554.89	$2,546.60
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $284.95 / $284.95 / $284.95	Facility	26	$284.95	$284.95	$284.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $729.41 / $875.41 / $1,067.68	Professional		$729.41	$875.41	$1,067.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $479.29 / $629.97 / $681.27	Professional		$479.29	$629.97	$681.27
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $110.24 / $144.12 / $164.31	Professional	26	$110.24	$144.12	$164.31
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $363.24 / $473.86 / $546.16	Professional	TC	$363.24	$473.86	$546.16
United Facility/Professional Professional Modifier Low / Median / High Price $413.83 / $721.35 / $848.42	Professional		$413.83	$721.35	$848.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.66 / $166.46 / $202.27	Professional	26	$100.66	$166.46	$202.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $313.17 / $554.89 / $681.45	Professional	TC	$313.17	$554.89	$681.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $763.00 / $897.70 / $897.70	Professional		$763.00	$897.70	$897.70
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $189.10 / $222.50 / $222.50	Professional	26	$189.10	$222.50	$222.50
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $574.00 / $675.20 / $675.20	Professional	TC	$574.00	$675.20	$675.20