Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.17 / $351.66 / $549.90	Facility		$46.17	$351.66	$549.90
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.89 / $8.89 / $8.89	Facility	26	$8.89	$8.89	$8.89
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.52 / $142.50 / $383.62	Facility	TC	$22.52	$142.50	$383.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $35.61 / $80.09	Professional		$26.71	$35.61	$80.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.06 / $8.80 / $24.92	Professional	26	$8.06	$8.80	$24.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.21 / $30.77 / $58.74	Professional	TC	$18.21	$30.77	$58.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.09 / $69.81 / $87.27	Professional		$57.09	$69.81	$87.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.86 / $19.39 / $24.24	Professional	26	$15.86	$19.39	$24.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.82 / $50.42 / $63.03	Professional	TC	$40.82	$50.42	$63.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.76 / $45.95 / $219.61	Facility		$32.76	$45.95	$219.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.45 / $53.91 / $193.62	Professional		$32.45	$53.91	$193.62
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.99 / $18.20 / $26.32	Professional	26	$10.99	$18.20	$26.32
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.71 / $36.18 / $138.27	Professional	TC	$21.71	$36.18	$138.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.46 / $62.89 / $101.89	Facility		$56.46	$62.89	$101.89
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $38.54 / $38.54 / $38.54	Facility	26	$38.54	$38.54	$38.54
Midlands Facility/Professional Facility Modifier TC Low / Median / High Price $75.59 / $75.59 / $75.59	Facility	TC	$75.59	$75.59	$75.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $59.77 / $62.89 / $77.03	Professional		$59.77	$62.89	$77.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $36.43 / $51.07 / $58.22	Professional		$36.43	$51.07	$58.22
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $9.36 / $14.75 / $16.82	Professional	26	$9.36	$14.75	$16.82
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $21.69 / $36.31 / $41.40	Professional	TC	$21.69	$36.31	$41.40
United Facility/Professional Professional Modifier Low / Median / High Price $32.45 / $46.24 / $62.19	Professional		$32.45	$46.24	$62.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.38 / $14.22 / $19.13	Professional	26	$10.38	$14.22	$19.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.98 / $36.18 / $36.96	Professional	TC	$23.98	$36.18	$36.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.40 / $60.50 / $60.50	Professional		$51.40	$60.50	$60.50
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $14.80 / $17.50 / $17.50	Professional	26	$14.80	$17.50	$17.50
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $36.50 / $43.00 / $43.00	Professional	TC	$36.50	$43.00	$43.00