Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $155.94 / $155.94 / $155.94	Facility	26	$155.94	$155.94	$155.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.75 / $413.49 / $478.02	Professional		$336.75	$413.49	$478.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $134.66 / $151.59 / $182.28	Professional	26	$134.66	$151.59	$182.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $199.33 / $278.82 / $322.08	Professional	TC	$199.33	$278.82	$322.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $890.66 / $1,089.08 / $1,361.35	Professional		$890.66	$1,089.08	$1,361.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $289.27 / $353.72 / $442.15	Professional	26	$289.27	$353.72	$442.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $601.39 / $735.36 / $919.20	Professional	TC	$601.39	$735.36	$919.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $393.24 / $714.98 / $863.51	Professional		$393.24	$714.98	$863.51
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $167.52 / $278.07 / $422.13	Professional	26	$167.52	$278.07	$422.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $227.93 / $414.42 / $589.12	Professional	TC	$227.93	$414.42	$589.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $688.68 / $863.51 / $1,154.77	Professional		$688.68	$863.51	$1,154.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $461.88 / $698.68 / $900.48	Professional		$461.88	$698.68	$900.48
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $180.64 / $253.50 / $298.22	Professional	26	$180.64	$253.50	$298.22
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $308.70 / $449.02 / $602.26	Professional	TC	$308.70	$449.02	$602.26
United Facility/Professional Professional Modifier Low / Median / High Price $354.93 / $550.44 / $764.46	Professional		$354.93	$550.44	$764.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $167.52 / $185.38 / $315.58	Professional	26	$167.52	$185.38	$315.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $248.65 / $376.05 / $478.67	Professional	TC	$248.65	$376.05	$478.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $857.80 / $1,009.20 / $1,009.20	Professional		$857.80	$1,009.20	$1,009.20
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $284.10 / $334.20 / $334.20	Professional	26	$284.10	$334.20	$334.20
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $573.70 / $675.00 / $675.00	Professional	TC	$573.70	$675.00	$675.00