Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $64.57 / $64.57	Facility	26	$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $346.74 / $776.25	Professional		$323.59	$346.74	$776.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $70.79 / $229.09	Professional	26	$61.66	$70.79	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $281.84 / $616.60	Professional	TC	$257.04	$281.84	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $741.31 / $933.25	Professional		$602.56	$741.31	$933.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $147.91 / $186.21	Professional	26	$120.23	$147.91	$186.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $478.63 / $588.84 / $741.31	Professional	TC	$478.63	$588.84	$741.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $776.25	Professional		$295.12	$457.09	$776.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $102.33 / $190.55	Professional	26	$58.88	$102.33	$190.55
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $371.54 / $812.83	Professional	TC	$234.42	$371.54	$812.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $158.49 / $158.49	Professional	26	$158.49	$158.49	$158.49
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $616.60 / $616.60 / $616.60	Professional	TC	$616.60	$616.60	$616.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $602.56	Professional		$426.58	$588.84	$602.56
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $112.20 / $123.03	Professional	26	$83.18	$112.20	$123.03
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $467.74 / $478.63	Professional	TC	$346.74	$467.74	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $575.44 / $741.31	Professional		$371.54	$575.44	$741.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $114.82 / $173.78	Professional	26	$75.86	$114.82	$173.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $407.38 / $602.56	Professional	TC	$302.00	$407.38	$602.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $616.60 / $616.60	Professional		$524.81	$616.60	$616.60
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $125.89 / $125.89	Professional	26	$107.15	$125.89	$125.89
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $416.87 / $489.78 / $489.78	Professional	TC	$416.87	$489.78	$489.78