Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.39 / $320.39 / $320.39	Professional		$320.39	$320.39	$320.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.47 / $36.47 / $36.47	Professional	26	$36.47	$36.47	$36.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $283.93 / $283.93 / $283.93	Professional	TC	$283.93	$283.93	$283.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.53 / $707.99 / $1,012.66	Professional		$512.53	$707.99	$1,012.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.23 / $82.10 / $115.06	Professional	26	$58.23	$82.10	$115.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $454.30 / $625.90 / $897.60	Professional	TC	$454.30	$625.90	$897.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.83 / $723.01 / $2,779.34	Professional		$269.83	$723.01	$2,779.34
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $30.26 / $92.88 / $306.82	Professional	26	$30.26	$92.88	$306.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $239.57 / $628.58 / $2,481.83	Professional	TC	$239.57	$628.58	$2,481.83
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $122.74 / $122.74 / $122.74	Facility	26	$122.74	$122.74	$122.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $546.55 / $707.99 / $973.06	Professional		$546.55	$707.99	$973.06
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $586.48 / $689.96 / $899.31	Professional		$586.48	$689.96	$899.31
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $61.79 / $80.00 / $91.21	Professional	26	$61.79	$80.00	$91.21
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $518.47 / $609.96 / $815.76	Professional	TC	$518.47	$609.96	$815.76
United Facility/Professional Professional Modifier Low / Median / High Price $251.26 / $269.83 / $1,106.22	Professional		$251.26	$269.83	$1,106.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.96 / $30.26 / $103.20	Professional	26	$27.96	$30.26	$103.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $223.30 / $239.57 / $902.72	Professional	TC	$223.30	$239.57	$902.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $689.90 / $887.70 / $954.60	Professional		$689.90	$887.70	$954.60
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $80.00 / $102.90 / $110.70	Professional	26	$80.00	$102.90	$110.70
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $609.90 / $784.80 / $843.90	Professional	TC	$609.90	$784.80	$843.90