Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.88 / $95.88 / $95.88	Facility	26	$95.88	$95.88	$95.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.38 / $152.31 / $236.17	Professional		$130.38	$152.31	$236.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.40 / $56.42 / $92.77	Professional	TC	$48.40	$56.42	$92.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.58 / $338.21 / $422.76	Professional		$276.58	$338.21	$422.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $103.40 / $126.44 / $158.05	Professional	TC	$103.40	$126.44	$158.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $139.43 / $270.68 / $336.73	Professional		$139.43	$270.68	$336.73
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $58.31 / $92.71 / $138.18	Professional	TC	$58.31	$92.71	$138.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $335.18 / $393.92	Professional		$225.00	$335.18	$393.92
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $172.91 / $239.76 / $282.05	Professional		$172.91	$239.76	$282.05
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $114.98 / $155.49 / $177.90	Professional	26	$114.98	$155.49	$177.90
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $57.92 / $86.99 / $104.15	Professional	TC	$57.92	$86.99	$104.15
United Facility/Professional Professional Modifier Low / Median / High Price $173.80 / $186.22 / $289.66	Professional		$173.80	$186.22	$289.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.81 / $64.31 / $97.18	Professional	TC	$61.81	$64.31	$97.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $248.90 / $292.89 / $292.89	Professional		$248.90	$292.89	$292.89
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $91.90 / $108.10 / $108.10	Professional	TC	$91.90	$108.10	$108.10