Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.73 / $23.73 / $23.73	Facility	26	$23.73	$23.73	$23.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.68 / $235.36 / $366.19	Professional		$196.68	$235.36	$366.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.22 / $23.73 / $102.60	Professional	26	$20.22	$23.73	$102.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $176.46 / $214.15 / $330.38	Professional	TC	$176.46	$214.15	$330.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.98 / $504.98 / $631.23	Professional		$412.98	$504.98	$631.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.14 / $52.75 / $65.93	Professional	26	$43.14	$52.75	$65.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $369.84 / $452.23 / $565.29	Professional	TC	$369.84	$452.23	$565.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $210.43 / $328.59 / $543.95	Professional		$210.43	$328.59	$543.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.85 / $44.01 / $52.14	Professional	26	$27.85	$44.01	$52.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $255.85 / $398.75 / $477.96	Professional	TC	$255.85	$398.75	$477.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $409.11 / $488.84 / $640.23	Professional		$409.11	$488.84	$640.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $299.35 / $393.96 / $422.18	Professional		$299.35	$393.96	$422.18
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $29.60 / $39.47 / $44.64	Professional	26	$29.60	$39.47	$44.64
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $268.18 / $351.55 / $378.44	Professional	TC	$268.18	$351.55	$378.44
United Facility/Professional Professional Modifier Low / Median / High Price $260.83 / $328.59 / $605.96	Professional		$260.83	$328.59	$605.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.17 / $40.70 / $52.14	Professional	26	$27.17	$40.70	$52.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $233.67 / $265.83 / $455.20	Professional	TC	$233.67	$265.83	$455.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $366.00 / $430.60 / $430.60	Professional		$366.00	$430.60	$430.60
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $39.40 / $46.30 / $46.30	Professional	26	$39.40	$46.30	$46.30
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $326.60 / $384.20 / $384.20	Professional	TC	$326.60	$384.20	$384.20