Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $8.91 / $8.91	Facility	26	$6.03	$8.91	$8.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.20 / $104.71	Professional		$21.88	$30.20	$104.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.55 / $22.91	Professional	26	$7.94	$9.55	$22.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $18.20 / $72.44	Professional	TC	$12.88	$18.20	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $75.86	Professional		$47.86	$60.26	$75.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $21.38 / $26.92	Professional	26	$16.98	$21.38	$26.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $38.90 / $48.98	Professional	TC	$29.51	$38.90	$48.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $38.90 / $109.65	Professional		$24.55	$38.90	$109.65
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $16.60 / $24.55	Professional	26	$9.77	$16.60	$24.55
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $21.38 / $112.20	Professional	TC	$13.49	$21.38	$112.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $51.29 / $54.95	Professional		$48.98	$51.29	$54.95
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $19.95 / $22.91	Professional	26	$19.05	$19.95	$22.91
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $30.20 / $34.67	Professional	TC	$28.18	$30.20	$34.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $20.42 / $20.42	Professional	26	$20.42	$20.42	$20.42
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $26.92 / $26.92	Professional	TC	$26.92	$26.92	$26.92
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $43.65 / $77.62	Professional		$28.18	$43.65	$77.62
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $15.85 / $18.20	Professional	26	$11.75	$15.85	$18.20
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $27.54 / $64.57	Professional	TC	$15.85	$27.54	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $42.66 / $66.07	Professional		$26.92	$42.66	$66.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $16.98 / $21.38	Professional	26	$10.00	$16.98	$21.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $24.55 / $44.67	Professional	TC	$15.85	$24.55	$44.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $51.29 / $51.29	Professional		$43.65	$51.29	$51.29
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $18.62 / $18.62	Professional	26	$15.85	$18.62	$18.62
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $33.11 / $33.11	Professional	TC	$28.18	$33.11	$33.11