Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.72 / $70.72 / $70.72	Facility	26	$70.72	$70.72	$70.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.08 / $475.00 / $598.50	Professional		$183.08	$475.00	$598.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.59 / $140.00 / $358.67	Professional	26	$66.59	$140.00	$358.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $121.81 / $335.00 / $422.10	Professional	TC	$121.81	$335.00	$422.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.63 / $465.42 / $581.78	Professional		$380.63	$465.42	$581.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $127.51 / $155.91 / $194.89	Professional	26	$127.51	$155.91	$194.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $253.12 / $309.50 / $386.88	Professional	TC	$253.12	$309.50	$386.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $274.57 / $435.27 / $2,831.41	Professional		$274.57	$435.27	$2,831.41
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $87.49 / $135.50 / $579.54	Professional	26	$87.49	$135.50	$579.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $184.49 / $314.29 / $2,465.48	Professional	TC	$184.49	$314.29	$2,465.48
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $230.86 / $230.86 / $230.86	Facility	26	$230.86	$230.86	$230.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $423.41 / $544.38 / $885.00	Professional		$423.41	$544.38	$885.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $286.97 / $384.91 / $582.70	Professional		$286.97	$384.91	$582.70
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $88.81 / $116.32 / $132.61	Professional	26	$88.81	$116.32	$132.61
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $188.10 / $252.29 / $471.90	Professional	TC	$188.10	$252.29	$471.90
United Facility/Professional Professional Modifier Low / Median / High Price $241.27 / $419.51 / $669.64	Professional		$241.27	$419.51	$669.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.89 / $135.50 / $156.66	Professional	26	$81.89	$135.50	$156.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $159.38 / $284.01 / $523.82	Professional	TC	$159.38	$284.01	$523.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $442.90 / $521.10 / $521.10	Professional		$442.90	$521.10	$521.10
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $152.60 / $179.50 / $179.50	Professional	26	$152.60	$179.50	$179.50
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $290.30 / $341.60 / $341.60	Professional	TC	$290.30	$341.60	$341.60