Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.18 / $35.18 / $35.18	Facility	26	$35.18	$35.18	$35.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.62 / $320.17 / $496.60	Professional		$318.62	$320.17	$496.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.26 / $44.53 / $154.86	Professional	26	$31.26	$44.53	$154.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $284.99 / $287.36 / $451.51	Professional	TC	$284.99	$287.36	$451.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $560.79 / $685.72 / $857.15	Professional		$560.79	$685.72	$857.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.06 / $78.34 / $97.93	Professional	26	$64.06	$78.34	$97.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $496.72 / $607.37 / $759.22	Professional	TC	$496.72	$607.37	$759.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $287.74 / $449.93 / $745.63	Professional		$287.74	$449.93	$745.63
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.98 / $67.51 / $87.72	Professional	26	$40.98	$67.51	$87.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $342.99 / $540.38 / $649.34	Professional	TC	$342.99	$540.38	$649.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $557.57 / $745.63 / $877.01	Professional		$557.57	$745.63	$877.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.99 / $534.70 / $574.95	Professional		$407.99	$534.70	$574.95
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $44.62 / $59.42 / $66.63	Professional	26	$44.62	$59.42	$66.63
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $360.78 / $471.40 / $509.66	Professional	TC	$360.78	$471.40	$509.66
United Facility/Professional Professional Modifier Low / Median / High Price $355.51 / $493.31 / $725.91	Professional		$355.51	$493.31	$725.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.98 / $47.67 / $72.92	Professional	26	$40.98	$47.67	$72.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $314.36 / $402.26 / $728.60	Professional	TC	$314.36	$402.26	$728.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $496.70 / $584.40 / $584.40	Professional		$496.70	$584.40	$584.40
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $58.80 / $69.20 / $69.20	Professional	26	$58.80	$69.20	$69.20
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $437.90 / $515.20 / $515.20	Professional	TC	$437.90	$515.20	$515.20