Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.51 / $48.51 / $48.51	Facility	26	$48.51	$48.51	$48.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.70 / $299.49 / $529.04	Professional		$285.70	$299.49	$529.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.78 / $48.51 / $177.11	Professional	26	$41.78	$48.51	$177.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $243.94 / $253.38 / $455.86	Professional	TC	$243.94	$253.38	$455.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.85 / $732.26 / $915.33	Professional		$598.85	$732.26	$915.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.18 / $107.82 / $134.78	Professional	26	$88.18	$107.82	$134.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $510.67 / $624.44 / $780.55	Professional	TC	$510.67	$624.44	$780.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $470.25 / $783.23	Professional		$304.00	$470.25	$783.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $55.26 / $90.85 / $105.50	Professional	26	$55.26	$90.85	$105.50
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $342.10 / $548.82 / $653.10	Professional	TC	$342.10	$548.82	$653.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $426.00 / $696.11 / $927.10	Professional		$426.00	$696.11	$927.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $377.44 / $527.67 / $612.35	Professional		$377.44	$527.67	$612.35
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $61.36 / $80.00 / $91.21	Professional	26	$61.36	$80.00	$91.21
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $323.36 / $447.68 / $522.97	Professional	TC	$323.36	$447.68	$522.97
United Facility/Professional Professional Modifier Low / Median / High Price $379.48 / $433.49 / $722.48	Professional		$379.48	$433.49	$722.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.26 / $60.56 / $100.48	Professional	26	$55.26	$60.56	$100.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $260.13 / $373.20 / $622.00	Professional	TC	$260.13	$373.20	$622.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $531.00 / $624.70 / $624.70	Professional		$531.00	$624.70	$624.70
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $80.50 / $94.70 / $94.70	Professional	26	$80.50	$94.70	$94.70
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $450.50 / $530.00 / $530.00	Professional	TC	$450.50	$530.00	$530.00