Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $51.29 / $269.15	Facility		$5.62	$51.29	$269.15
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $7.08 / $7.08	Facility	26	$7.08	$7.08	$7.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.02 / $33.11	Professional		$9.55	$12.02	$33.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $7.94 / $16.60	Professional	26	$7.08	$7.94	$16.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $29.51 / $29.51 / $29.51	Professional	50	$29.51	$29.51	$29.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.98 / $8.32	Professional	TC	$3.02	$3.98	$8.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.12 / $31.62	Professional		$20.42	$25.12	$31.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $17.38 / $21.88	Professional	26	$13.80	$17.38	$21.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $6.31 / $7.94 / $10.00	Professional	TC	$6.31	$7.94	$10.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $19.05 / $25.70	Facility		$14.13	$19.05	$25.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $22.39 / $1,412.54	Professional		$12.30	$22.39	$1,412.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $14.79 / $1,288.25	Professional	26	$9.12	$14.79	$1,288.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $4.37 / $7.76 / $977.24	Professional	TC	$4.37	$7.76	$977.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.18 / $28.18	Professional		$21.88	$28.18	$28.18
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $18.62 / $18.62	Professional	26	$15.49	$18.62	$18.62
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $6.76 / $9.55 / $9.55	Professional	TC	$6.76	$9.55	$9.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.50 / $25.12	Professional		$14.13	$19.50	$25.12
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $13.18 / $16.60	Professional	26	$9.55	$13.18	$16.60
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $4.57 / $6.76 / $8.91	Professional	TC	$4.57	$6.76	$8.91
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $20.89 / $32.36	Professional		$12.59	$20.89	$32.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $13.80 / $20.89	Professional	26	$8.32	$13.80	$20.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.98 / $6.76 / $11.22	Professional	TC	$3.98	$6.76	$11.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $23.44 / $23.44	Professional		$20.42	$23.44	$23.44
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $15.85 / $15.85	Professional	26	$13.49	$15.85	$15.85
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $6.46 / $7.76 / $7.76	Professional	TC	$6.46	$7.76	$7.76