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 $35.07 / $70.14 / $138.99	Professional		$35.07	$70.14	$138.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.86 / $9.58 / $26.70	Professional	26	$8.86	$9.58	$26.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.90 / $51.90 / $227.84	Professional	TC	$26.90	$51.90	$227.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $91.53 / $114.42	Professional		$74.86	$91.53	$114.42
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 $57.73 / $70.59 / $88.24	Professional	TC	$57.73	$70.59	$88.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $73.26 / $539.95	Professional		$47.52	$73.26	$539.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.86 / $18.28 / $97.55	Professional	26	$11.86	$18.28	$97.55
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $35.15 / $54.98 / $492.53	Professional	TC	$35.15	$54.98	$492.53
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $182.78 / $182.78 / $182.78	Facility	26	$182.78	$182.78	$182.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $78.47 / $88.84 / $190.00	Professional		$78.47	$88.84	$190.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $49.78 / $66.95 / $76.33	Professional		$49.78	$66.95	$76.33
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $12.15 / $16.14 / $18.11	Professional	26	$12.15	$16.14	$18.11
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $37.32 / $50.48 / $58.22	Professional	TC	$37.32	$50.48	$58.22
United Facility/Professional Professional Modifier Low / Median / High Price $46.74 / $61.80 / $86.89	Professional		$46.74	$61.80	$86.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.18 / $15.38 / $20.38	Professional	26	$11.18	$15.38	$20.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.56 / $53.50 / $68.17	Professional	TC	$35.56	$53.50	$68.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $85.50 / $85.50	Professional		$72.70	$85.50	$85.50
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $17.30 / $20.30 / $20.30	Professional	26	$17.30	$20.30	$20.30
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $55.50 / $65.30 / $65.30	Professional	TC	$55.50	$65.30	$65.30