Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.14 / $77.14 / $77.14	Facility	26	$77.14	$77.14	$77.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.51 / $485.62 / $717.38	Professional		$422.51	$485.62	$717.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.13 / $76.28 / $213.30	Professional	26	$71.13	$76.28	$213.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $384.92 / $414.12 / $601.36	Professional	TC	$384.92	$414.12	$601.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $813.90 / $995.22 / $1,244.03	Professional		$813.90	$995.22	$1,244.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $140.19 / $171.43 / $214.29	Professional	26	$140.19	$171.43	$214.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $673.71 / $823.79 / $1,029.74	Professional	TC	$673.71	$823.79	$1,029.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $411.98 / $689.16 / $1,069.24	Professional		$411.98	$689.16	$1,069.24
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $94.91 / $147.02 / $191.55	Professional	26	$94.91	$147.02	$191.55
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $482.42 / $723.63 / $866.98	Professional	TC	$482.42	$723.63	$866.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $816.51 / $1,069.24 / $1,269.53	Professional		$816.51	$1,069.24	$1,269.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $588.24 / $764.34 / $831.04	Professional		$588.24	$764.34	$831.04
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $96.11 / $126.53 / $144.26	Professional	26	$96.11	$126.53	$144.26
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $492.13 / $639.79 / $689.05	Professional	TC	$492.13	$639.79	$689.05
United Facility/Professional Professional Modifier Low / Median / High Price $518.88 / $640.38 / $983.88	Professional		$518.88	$640.38	$983.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.08 / $123.75 / $158.18	Professional	26	$89.08	$123.75	$158.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $429.80 / $743.74 / $825.70	Professional	TC	$429.80	$743.74	$825.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $721.70 / $849.00 / $849.00	Professional		$721.70	$849.00	$849.00
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $127.30 / $149.80 / $149.80	Professional	26	$127.30	$149.80	$149.80
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $594.40 / $699.20 / $699.20	Professional	TC	$594.40	$699.20	$699.20