Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.41 / $84.41 / $84.41	Facility	26	$84.41	$84.41	$84.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.94 / $540.34 / $774.93	Professional		$404.94	$540.34	$774.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.87 / $81.51 / $284.80	Professional	26	$71.87	$81.51	$284.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $332.04 / $468.45 / $679.76	Professional	TC	$332.04	$468.45	$679.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $853.23 / $1,043.32 / $1,304.15	Professional		$853.23	$1,043.32	$1,304.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $156.06 / $190.82 / $238.53	Professional	26	$156.06	$190.82	$238.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $697.18 / $852.49 / $1,065.61	Professional	TC	$697.18	$852.49	$1,065.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $431.92 / $911.38 / $1,135.68	Professional		$431.92	$911.38	$1,135.68
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $89.12 / $155.03 / $227.56	Professional	26	$89.12	$155.03	$227.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $486.92 / $760.54 / $1,259.18	Professional	TC	$486.92	$760.54	$1,259.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $588.00 / $1,049.60 / $1,308.68	Professional		$588.00	$1,049.60	$1,308.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $551.67 / $812.50 / $858.30	Professional		$551.67	$812.50	$858.30
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $96.54 / $132.72 / $160.43	Professional	26	$96.54	$132.72	$160.43
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $465.01 / $660.08 / $710.24	Professional	TC	$465.01	$660.08	$710.24
United Facility/Professional Professional Modifier Low / Median / High Price $536.46 / $607.58 / $1,047.33	Professional		$536.46	$607.58	$1,047.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.12 / $100.56 / $162.04	Professional	26	$89.12	$100.56	$162.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $438.60 / $531.17 / $885.30	Professional	TC	$438.60	$531.17	$885.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $814.70 / $958.50 / $958.50	Professional		$814.70	$958.50	$958.50
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $152.80 / $179.80 / $179.80	Professional	26	$152.80	$179.80	$179.80
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $661.90 / $778.60 / $778.60	Professional	TC	$661.90	$778.60	$778.60