Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.14 / $88.14 / $88.14	Facility	26	$88.14	$88.14	$88.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.95 / $352.69 / $1,872.72	Professional		$283.95	$352.69	$1,872.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.95 / $87.23 / $245.34	Professional	26	$80.95	$87.23	$245.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.69 / $382.43 / $4,137.60	Professional	TC	$218.69	$382.43	$4,137.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $589.33 / $720.63 / $900.78	Professional		$589.33	$720.63	$900.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $160.50 / $196.25 / $245.32	Professional	26	$160.50	$196.25	$245.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $428.84 / $524.37 / $655.47	Professional	TC	$428.84	$524.37	$655.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $344.38 / $610.28 / $2,077.84	Professional		$344.38	$610.28	$2,077.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $109.71 / $178.84 / $423.90	Professional	26	$109.71	$178.84	$423.90
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $266.31 / $441.15 / $2,614.00	Professional	TC	$266.31	$441.15	$2,614.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $283.05 / $283.05 / $283.05	Facility	26	$283.05	$283.05	$283.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $598.33 / $711.03 / $865.91	Professional		$598.33	$711.03	$865.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $507.09 / $603.47	Professional		$375.00	$507.09	$603.47
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $111.97 / $148.54 / $166.90	Professional	26	$111.97	$148.54	$166.90
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $266.58 / $363.48 / $433.93	Professional	TC	$266.58	$363.48	$433.93
United Facility/Professional Professional Modifier Low / Median / High Price $373.09 / $593.78 / $672.34	Professional		$373.09	$593.78	$672.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $101.86 / $169.13 / $195.56	Professional	26	$101.86	$169.13	$195.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $271.23 / $441.15 / $493.67	Professional	TC	$271.23	$441.15	$493.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $589.79 / $693.80 / $693.80	Professional		$589.79	$693.80	$693.80
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $165.60 / $194.80 / $194.80	Professional	26	$165.60	$194.80	$194.80
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $424.20 / $499.10 / $499.10	Professional	TC	$424.20	$499.10	$499.10