Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.01 / $280.02 / $350.03	Professional		$229.01	$280.02	$350.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.01 / $103.94 / $129.93	Professional	26	$85.01	$103.94	$129.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.00 / $176.08 / $220.10	Professional	TC	$144.00	$176.08	$220.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.80 / $222.48 / $270.51	Professional		$114.80	$222.48	$270.51
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $52.79 / $84.19 / $115.20	Professional	26	$52.79	$84.19	$115.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $90.18 / $144.47 / $213.72	Professional	TC	$90.18	$144.47	$213.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $228.74 / $270.51 / $343.61	Professional		$228.74	$270.51	$343.61
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $140.74 / $196.86 / $249.21	Professional		$140.74	$196.86	$249.21
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $52.75 / $72.56 / $87.98	Professional	26	$52.75	$72.56	$87.98
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $87.96 / $122.08 / $162.06	Professional	TC	$87.96	$122.08	$162.06
United Facility/Professional Professional Modifier Low / Median / High Price $142.97 / $191.39 / $269.02	Professional		$142.97	$191.39	$269.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.39 / $54.61 / $87.98	Professional	26	$48.39	$54.61	$87.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.18 / $97.76 / $156.11	Professional	TC	$90.18	$97.76	$156.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $229.70 / $270.30 / $270.30	Professional		$229.70	$270.30	$270.30
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $87.30 / $102.70 / $102.70	Professional	26	$87.30	$102.70	$102.70
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $142.50 / $167.60 / $167.60	Professional	TC	$142.50	$167.60	$167.60