Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $106.48 / $123.73	Professional		$77.42	$106.48	$123.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.70 / $16.70 / $19.05	Professional	26	$16.70	$16.70	$19.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.10 / $89.78 / $104.68	Professional	TC	$60.10	$89.78	$104.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.13 / $259.08 / $323.85	Professional		$182.13	$259.08	$323.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.89 / $42.66 / $53.33	Professional	26	$34.89	$42.66	$53.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $143.01 / $216.42 / $270.52	Professional	TC	$143.01	$216.42	$270.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.14 / $178.75 / $751.09	Professional		$102.14	$178.75	$751.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.56 / $34.78 / $205.00	Professional	26	$22.56	$34.78	$205.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $78.98 / $138.22 / $630.88	Professional	TC	$78.98	$138.22	$630.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $225.71 / $293.05	Professional		$108.00	$225.71	$293.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $106.49 / $158.68 / $212.83	Professional		$106.49	$158.68	$212.83
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $23.69 / $31.77 / $36.22	Professional	26	$23.69	$31.77	$36.22
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $82.27 / $131.66 / $176.60	Professional	TC	$82.27	$131.66	$176.60
United Facility/Professional Professional Modifier Low / Median / High Price $110.88 / $161.15 / $202.61	Professional		$110.88	$161.15	$202.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.23 / $29.25 / $40.53	Professional	26	$21.23	$29.25	$40.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $98.73 / $131.63 / $167.83	Professional	TC	$98.73	$131.63	$167.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $187.80 / $221.00 / $221.00	Professional		$187.80	$221.00	$221.00
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $32.00 / $37.60 / $37.60	Professional	26	$32.00	$37.60	$37.60
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $155.90 / $183.40 / $183.40	Professional	TC	$155.90	$183.40	$183.40