Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.32 / $15.32 / $15.32	Facility	26	$15.32	$15.32	$15.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $20.85 / $71.70	Professional		$14.82	$20.85	$71.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.48 / $15.32 / $41.83	Professional	26	$7.48	$15.32	$41.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.48 / $24.95 / $77.43	Professional	TC	$11.48	$24.95	$77.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.47 / $100.07 / $125.08	Professional		$65.47	$100.07	$125.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.33 / $34.13 / $42.66	Professional	26	$22.33	$34.13	$42.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.14 / $65.93 / $82.42	Professional	TC	$43.14	$65.93	$82.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $41.08 / $738.38	Professional		$21.36	$41.08	$738.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.65 / $18.94 / $95.54	Professional	26	$9.65	$18.94	$95.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $10.07 / $29.65 / $724.28	Professional	TC	$10.07	$29.65	$724.28
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $25.66 / $25.66 / $25.66	Facility	26	$25.66	$25.66	$25.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $39.00 / $104.49	Professional		$36.00	$39.00	$104.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $62.22 / $83.45	Professional		$20.32	$62.22	$83.45
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $21.70 / $29.11	Professional	26	$9.94	$21.70	$29.11
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $11.05 / $40.51 / $54.34	Professional	TC	$11.05	$40.51	$54.34
United Facility/Professional Professional Modifier Low / Median / High Price $27.93 / $51.13 / $79.51	Professional		$27.93	$51.13	$79.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.87 / $17.98 / $29.19	Professional	26	$12.87	$17.98	$29.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.78 / $33.15 / $50.32	Professional	TC	$16.78	$33.15	$50.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $73.70 / $86.60 / $86.60	Professional		$73.70	$86.60	$86.60
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $30.20 / $30.20	Professional	26	$25.70	$30.20	$30.20
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $48.00 / $56.40 / $56.40	Professional	TC	$48.00	$56.40	$56.40