Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.38 / $23.38 / $23.38	Facility	26	$23.38	$23.38	$23.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.99 / $127.99 / $149.87	Professional		$127.99	$127.99	$149.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $107.77 / $107.77 / $126.49	Professional	TC	$107.77	$107.77	$126.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.82 / $328.12 / $410.15	Professional		$266.82	$328.12	$410.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $212.04 / $275.37 / $344.22	Professional	TC	$212.04	$275.37	$344.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $229.55 / $923.37	Professional		$131.16	$229.55	$923.37
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $101.81 / $178.16 / $778.42	Professional	TC	$101.81	$178.16	$778.42
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $78.54 / $78.54 / $78.54	Facility	26	$78.54	$78.54	$78.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $178.00 / $268.23 / $354.29	Professional		$178.00	$268.23	$354.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $132.22 / $201.12 / $269.76	Professional		$132.22	$201.12	$269.76
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $28.75 / $38.86 / $44.64	Professional	26	$28.75	$38.86	$44.64
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $102.07 / $167.84 / $225.12	Professional	TC	$102.07	$167.84	$225.12
United Facility/Professional Professional Modifier Low / Median / High Price $151.37 / $193.58 / $243.09	Professional		$151.37	$193.58	$243.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $127.26 / $178.16 / $198.54	Professional	TC	$127.26	$178.16	$198.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $238.10 / $280.10 / $280.10	Professional		$238.10	$280.10	$280.10
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $198.70 / $233.80 / $233.80	Professional	TC	$198.70	$233.80	$233.80