Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.58 / $9.58 / $9.58	Facility	26	$9.58	$9.58	$9.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.59 / $73.34 / $105.14	Professional		$22.59	$73.34	$105.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.39 / $9.38 / $14.50	Professional	26	$8.39	$9.38	$14.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.20 / $63.97 / $92.72	Professional	TC	$14.20	$63.97	$92.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.21 / $58.95 / $73.69	Professional		$48.21	$58.95	$73.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.13 / $20.94 / $26.18	Professional	26	$17.13	$20.94	$26.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.39 / $38.01 / $47.51	Professional	TC	$28.39	$38.01	$47.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $42.55 / $761.56	Professional		$27.60	$42.55	$761.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.80 / $18.28 / $132.00	Professional	26	$11.80	$18.28	$132.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $15.74 / $24.27 / $705.08	Professional	TC	$15.74	$24.27	$705.08
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $32.90 / $32.90 / $32.90	Facility	26	$32.90	$32.90	$32.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $46.68 / $54.80 / $66.45	Professional		$46.68	$54.80	$66.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $42.34 / $57.18	Professional		$27.64	$42.34	$57.18
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $12.01 / $15.89 / $18.11	Professional	26	$12.01	$15.89	$18.11
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $15.91 / $26.95 / $36.39	Professional	TC	$15.91	$26.95	$36.39
United Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $42.55 / $48.83	Professional		$27.60	$42.55	$48.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.18 / $18.28 / $20.65	Professional	26	$11.18	$18.28	$20.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.74 / $23.62 / $26.84	Professional	TC	$15.74	$23.62	$26.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $51.70 / $51.70	Professional		$44.00	$51.70	$51.70
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $16.00 / $18.80 / $18.80	Professional	26	$16.00	$18.80	$18.80
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $28.00 / $32.90 / $32.90	Professional	TC	$28.00	$32.90	$32.90