Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.14 / $106.14 / $106.14	Facility	26	$106.14	$106.14	$106.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.76 / $475.00 / $598.50	Professional		$316.76	$475.00	$598.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.20 / $161.00 / $615.88	Professional	26	$98.20	$161.00	$615.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $224.52 / $368.50 / $3,553.77	Professional	TC	$224.52	$368.50	$3,553.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.48 / $805.18 / $1,006.47	Professional		$658.48	$805.18	$1,006.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $193.48 / $236.59 / $295.74	Professional	26	$193.48	$236.59	$295.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $465.00 / $568.59 / $710.74	Professional	TC	$465.00	$568.59	$710.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $473.81 / $730.45 / $6,025.38	Professional		$473.81	$730.45	$6,025.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $131.79 / $203.17 / $891.52	Professional	26	$131.79	$203.17	$891.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $342.02 / $527.28 / $5,457.89	Professional	TC	$342.02	$527.28	$5,457.89
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $353.73 / $353.73 / $353.73	Facility	26	$353.73	$353.73	$353.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $731.54 / $888.56 / $1,449.76	Professional		$731.54	$888.56	$1,449.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $486.53 / $648.70 / $903.50	Professional		$486.53	$648.70	$903.50
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $135.36 / $180.48 / $201.19	Professional	26	$135.36	$180.48	$201.19
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $345.81 / $463.83 / $728.46	Professional	TC	$345.81	$463.83	$728.46
United Facility/Professional Professional Modifier Low / Median / High Price $416.63 / $730.45 / $1,019.90	Professional		$416.63	$730.45	$1,019.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $123.04 / $197.68 / $243.66	Professional	26	$123.04	$197.68	$243.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $293.58 / $527.28 / $833.39	Professional	TC	$293.58	$527.28	$833.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $765.30 / $900.30 / $900.30	Professional		$765.30	$900.30	$900.30
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $231.50 / $272.39 / $272.39	Professional	26	$231.50	$272.39	$272.39
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $533.79 / $627.90 / $627.90	Professional	TC	$533.79	$627.90	$627.90