Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.79 / $56.79 / $56.79	Facility	26	$56.79	$56.79	$56.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.04 / $344.63 / $384.26	Professional		$289.04	$344.63	$384.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.86 / $55.45 / $125.49	Professional	26	$48.86	$55.45	$125.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $240.19 / $287.83 / $328.80	Professional	TC	$240.19	$287.83	$328.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.46 / $741.57 / $926.96	Professional		$606.46	$741.57	$926.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.40 / $126.44 / $158.05	Professional	26	$103.40	$126.44	$158.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $503.06 / $615.13 / $768.91	Professional	TC	$503.06	$615.13	$768.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $310.45 / $485.43 / $806.77	Professional		$310.45	$485.43	$806.77
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $66.05 / $105.79 / $123.13	Professional	26	$66.05	$105.79	$123.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $356.91 / $547.52 / $659.90	Professional	TC	$356.91	$547.52	$659.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $448.08 / $706.15 / $943.49	Professional		$448.08	$706.15	$943.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $440.54 / $578.95 / $619.95	Professional		$440.54	$578.95	$619.95
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $71.65 / $95.41 / $106.74	Professional	26	$71.65	$95.41	$106.74
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $364.90 / $477.54 / $514.73	Professional	TC	$364.90	$477.54	$514.73
United Facility/Professional Professional Modifier Low / Median / High Price $383.87 / $653.30 / $745.74	Professional		$383.87	$653.30	$745.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.91 / $70.52 / $117.26	Professional	26	$65.91	$70.52	$117.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $317.95 / $547.52 / $628.48	Professional	TC	$317.95	$547.52	$628.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $537.79 / $632.70 / $632.70	Professional		$537.79	$632.70	$632.70
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $94.20 / $110.80 / $110.80	Professional	26	$94.20	$110.80	$110.80
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $443.60 / $521.90 / $521.90	Professional	TC	$443.60	$521.90	$521.90