Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.48 / $443.48 / $443.48	Professional		$443.48	$443.48	$443.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.85 / $43.85 / $43.85	Professional	26	$43.85	$43.85	$43.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $399.63 / $399.63 / $399.63	Professional	TC	$399.63	$399.63	$399.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.47 / $976.41 / $1,397.81	Professional		$707.47	$976.41	$1,397.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.80 / $98.41 / $137.90	Professional	26	$69.80	$98.41	$137.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $637.66 / $878.02 / $1,259.90	Professional	TC	$637.66	$878.02	$1,259.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $353.06 / $856.01 / $3,946.60	Professional		$353.06	$856.01	$3,946.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $35.89 / $106.93 / $363.38	Professional	26	$35.89	$106.93	$363.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $317.17 / $749.08 / $3,586.83	Professional	TC	$317.17	$749.08	$3,586.83
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $139.09 / $139.09 / $139.09	Facility	26	$139.09	$139.09	$139.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $646.91 / $976.41 / $1,211.16	Professional		$646.91	$976.41	$1,211.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $730.08 / $951.53 / $1,129.60	Professional		$730.08	$951.53	$1,129.60
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $70.80 / $95.73 / $109.33	Professional	26	$70.80	$95.73	$109.33
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $646.37 / $855.64 / $1,022.48	Professional	TC	$646.37	$855.64	$1,022.48
United Facility/Professional Professional Modifier Low / Median / High Price $347.32 / $353.06 / $1,279.78	Professional		$347.32	$353.06	$1,279.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.54 / $35.89 / $123.24	Professional	26	$33.54	$35.89	$123.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $313.77 / $317.17 / $1,127.08	Professional	TC	$313.77	$317.17	$1,127.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $951.50 / $1,224.30 / $1,316.40	Professional		$951.50	$1,224.30	$1,316.40
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $95.90 / $123.40 / $132.69	Professional	26	$95.90	$123.40	$132.69
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $855.60 / $1,100.90 / $1,183.80	Professional	TC	$855.60	$1,100.90	$1,183.80