Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.47 / $33.47 / $33.47	Facility	26	$33.47	$33.47	$33.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.23 / $68.76 / $111.47	Professional		$59.23	$68.76	$111.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.73 / $62.58 / $460.80	Professional	26	$28.73	$62.58	$460.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.41 / $40.02 / $63.06	Professional	TC	$30.41	$40.02	$63.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $156.69 / $195.86	Professional		$128.13	$156.69	$195.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.17 / $76.02 / $95.02	Professional	26	$62.17	$76.02	$95.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $65.98 / $80.67 / $100.84	Professional	TC	$65.98	$80.67	$100.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.54 / $120.89 / $150.46	Professional		$64.54	$120.89	$150.46
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $38.84 / $61.26 / $90.89	Professional	26	$38.84	$61.26	$90.89
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $40.86 / $61.29 / $98.36	Professional	TC	$40.86	$61.29	$98.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $150.00 / $176.55	Professional		$126.00	$150.00	$176.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.95 / $108.53 / $130.66	Professional		$75.95	$108.53	$130.66
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $38.61 / $53.09 / $64.04	Professional	26	$38.61	$53.09	$64.04
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $37.33 / $56.64 / $66.63	Professional	TC	$37.33	$56.64	$66.63
United Facility/Professional Professional Modifier Low / Median / High Price $79.09 / $80.59 / $133.91	Professional		$79.09	$80.59	$133.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.75 / $59.60 / $72.80	Professional	26	$38.75	$59.60	$72.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.34 / $48.93 / $76.56	Professional	TC	$40.34	$48.93	$76.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $124.50 / $146.40 / $146.40	Professional		$124.50	$146.40	$146.40
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $61.00 / $71.80 / $71.80	Professional	26	$61.00	$71.80	$71.80
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $63.50 / $74.70 / $74.70	Professional	TC	$63.50	$74.70	$74.70