Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.67 / $74.67 / $74.67	Facility	26	$74.67	$74.67	$74.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.79 / $388.06 / $661.59	Professional		$352.79	$388.06	$661.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.81 / $70.56 / $112.43	Professional	26	$64.81	$70.56	$112.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $282.23 / $310.45 / $549.13	Professional	TC	$282.23	$310.45	$549.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $751.10 / $918.43 / $1,148.04	Professional		$751.10	$918.43	$1,148.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $135.76 / $166.00 / $207.50	Professional	26	$135.76	$166.00	$207.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $615.34 / $752.43 / $940.54	Professional	TC	$615.34	$752.43	$940.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $391.43 / $559.87 / $903.15	Professional		$391.43	$559.87	$903.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $91.52 / $139.16 / $184.72	Professional	26	$91.52	$139.16	$184.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $388.69 / $685.22 / $742.04	Professional	TC	$388.69	$685.22	$742.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $512.77 / $882.32 / $1,187.58	Professional		$512.77	$882.32	$1,187.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $510.14 / $680.11 / $772.72	Professional		$510.14	$680.11	$772.72
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $93.11 / $124.12 / $140.38	Professional	26	$93.11	$124.12	$140.38
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $417.05 / $555.98 / $635.16	Professional	TC	$417.05	$555.98	$635.16
United Facility/Professional Professional Modifier Low / Median / High Price $473.08 / $559.87 / $860.14	Professional		$473.08	$559.87	$860.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.28 / $100.23 / $153.44	Professional	26	$86.28	$100.23	$153.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $388.69 / $456.82 / $706.70	Professional	TC	$388.69	$456.82	$706.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $666.30 / $783.90 / $783.90	Professional		$666.30	$783.90	$783.90
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $123.90 / $145.80 / $145.80	Professional	26	$123.90	$145.80	$145.80
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $542.40 / $638.10 / $638.10	Professional	TC	$542.40	$638.10	$638.10