Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.52 / $51.55 / $268.13	Facility		$11.52	$51.55	$268.13
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.85 / $7.85 / $7.85	Facility	26	$7.85	$7.85	$7.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $13.26 / $39.11	Professional		$10.28	$13.26	$39.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $8.83 / $11.79	Professional	26	$7.24	$8.83	$11.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.14 / $4.44 / $6.13	Professional	TC	$3.14	$4.44	$6.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $24.82 / $31.03	Professional		$16.39	$24.82	$31.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.28 / $17.07 / $21.33	Professional	26	$11.28	$17.07	$21.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $5.13 / $7.76 / $9.69	Professional	TC	$5.13	$7.76	$9.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $18.98 / $27.18	Facility		$15.90	$18.98	$27.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $21.85 / $1,428.44	Professional		$12.75	$21.85	$1,428.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.68 / $14.93 / $1,274.28	Professional	26	$9.68	$14.93	$1,274.28
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $4.47 / $6.92 / $988.10	Professional	TC	$4.47	$6.92	$988.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.09 / $26.33 / $38.50	Facility		$22.09	$26.33	$38.50
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $31.22 / $31.22 / $31.22	Facility	26	$31.22	$31.22	$31.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $28.20 / $30.36	Professional		$17.71	$28.20	$30.36
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.76 / $19.29 / $24.95	Professional		$14.76	$19.29	$24.95
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $9.98 / $13.05 / $16.52	Professional	26	$9.98	$13.05	$16.52
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $5.03 / $6.46 / $8.69	Professional	TC	$5.03	$6.46	$8.69
United Facility/Professional Professional Modifier Low / Median / High Price $12.45 / $21.26 / $30.74	Professional		$12.45	$21.26	$30.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $10.81 / $19.66	Professional	26	$9.19	$10.81	$19.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.38 / $6.31 / $10.34	Professional	TC	$4.38	$6.31	$10.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $23.70 / $23.70	Professional		$20.20	$23.70	$23.70
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $13.60 / $16.00 / $16.00	Professional	26	$13.60	$16.00	$16.00
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $6.50 / $7.70 / $7.70	Professional	TC	$6.50	$7.70	$7.70