Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $156.29 / $156.29 / $156.29	Facility	26	$156.29	$156.29	$156.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.12 / $269.86 / $481.95	Professional		$258.12	$269.86	$481.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $134.97 / $137.41 / $243.07	Professional	26	$134.97	$137.41	$243.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.14 / $132.43 / $238.86	Professional	TC	$123.14	$132.43	$238.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $556.98 / $681.06 / $851.33	Professional		$556.98	$681.06	$851.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $289.91 / $354.49 / $443.12	Professional	26	$289.91	$354.49	$443.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $267.07 / $326.57 / $408.21	Professional	TC	$267.07	$326.57	$408.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $279.95 / $526.12 / $657.19	Professional		$279.95	$526.12	$657.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $167.52 / $278.70 / $422.13	Professional	26	$167.52	$278.70	$422.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $154.82 / $247.41 / $400.23	Professional	TC	$154.82	$247.41	$400.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $549.36 / $657.19 / $763.16	Professional		$549.36	$657.19	$763.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $341.95 / $481.71 / $566.67	Professional		$341.95	$481.71	$566.67
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $180.64 / $254.05 / $298.87	Professional	26	$180.64	$254.05	$298.87
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $161.33 / $227.66 / $267.82	Professional	TC	$161.33	$227.66	$267.82
United Facility/Professional Professional Modifier Low / Median / High Price $320.13 / $379.41 / $582.05	Professional		$320.13	$379.41	$582.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $165.31 / $185.81 / $300.56	Professional	26	$165.31	$185.81	$300.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $163.38 / $254.28 / $313.89	Professional	TC	$163.38	$254.28	$313.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $539.79 / $635.10 / $635.10	Professional		$539.79	$635.10	$635.10
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $284.70 / $334.90 / $334.90	Professional	26	$284.70	$334.90	$334.90
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $255.10 / $300.10 / $300.10	Professional	TC	$255.10	$300.10	$300.10