Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.49 / $61.49 / $61.49	Facility	26	$61.49	$61.49	$61.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.96 / $339.97 / $485.65	Professional		$216.96	$339.97	$485.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.49 / $64.06 / $225.00	Professional	26	$53.49	$64.06	$225.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $163.46 / $281.72 / $408.74	Professional	TC	$163.46	$281.72	$408.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.41 / $550.75 / $688.43	Professional		$450.41	$550.75	$688.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.65 / $136.52 / $170.65	Professional	26	$111.65	$136.52	$170.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $338.76 / $414.22 / $517.78	Professional	TC	$338.76	$414.22	$517.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $278.70 / $461.74 / $1,846.75	Professional		$278.70	$461.74	$1,846.75
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $76.56 / $118.31 / $444.14	Professional	26	$76.56	$118.31	$444.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $202.15 / $336.92 / $2,104.00	Professional	TC	$202.15	$336.92	$2,104.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $199.45 / $199.45 / $199.45	Facility	26	$199.45	$199.45	$199.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $445.02 / $530.91 / $665.35	Professional		$445.02	$530.91	$665.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $280.79 / $386.03 / $464.01	Professional		$280.79	$386.03	$464.01
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $77.66 / $101.56 / $115.80	Professional	26	$77.66	$101.56	$115.80
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $202.42 / $287.60 / $349.91	Professional	TC	$202.42	$287.60	$349.91
United Facility/Professional Professional Modifier Low / Median / High Price $286.80 / $461.74 / $487.75	Professional		$286.80	$461.74	$487.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.50 / $115.11 / $136.80	Professional	26	$71.50	$115.11	$136.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $185.31 / $334.15 / $353.77	Professional	TC	$185.31	$334.15	$353.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $450.50 / $530.00 / $530.00	Professional		$450.50	$530.00	$530.00
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $114.90 / $135.10 / $135.10	Professional	26	$114.90	$135.10	$135.10
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $335.60 / $394.90 / $394.90	Professional	TC	$335.60	$394.90	$394.90