Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.26 / $51.26 / $51.26	Professional		$51.26	$51.26	$51.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.07 / $19.07 / $19.07	Professional	26	$19.07	$19.07	$19.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.18 / $32.18 / $32.18	Professional	TC	$32.18	$32.18	$32.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $114.65 / $208.08	Professional		$81.20	$114.65	$208.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.56 / $38.20 / $60.38	Professional	26	$30.56	$38.20	$60.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.60 / $74.75 / $147.69	Professional	TC	$47.60	$74.75	$147.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.52 / $114.65 / $466.08	Professional		$41.52	$114.65	$466.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.67 / $46.77 / $186.58	Professional	26	$15.67	$46.77	$186.58
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.85 / $46.70 / $309.75	Professional	TC	$25.85	$46.70	$309.75
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $64.11 / $64.11 / $64.11	Facility	26	$64.11	$64.11	$64.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $114.65 / $152.47	Professional		$93.00	$114.65	$152.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $73.13 / $98.63 / $163.02	Professional		$73.13	$98.63	$163.02
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $30.17 / $40.69 / $47.87	Professional	26	$30.17	$40.69	$47.87
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $42.96 / $56.86 / $115.15	Professional	TC	$42.96	$56.86	$115.15
United Facility/Professional Professional Modifier Low / Median / High Price $41.52 / $48.73 / $118.73	Professional		$41.52	$48.73	$118.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.58 / $15.67 / $51.96	Professional	26	$14.58	$15.67	$51.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.85 / $34.15 / $108.32	Professional	TC	$25.85	$34.15	$108.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $184.00 / $197.80	Professional		$143.00	$184.00	$197.80
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $42.00 / $54.00 / $58.10	Professional	26	$42.00	$54.00	$58.10
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $101.00 / $129.90 / $139.69	Professional	TC	$101.00	$129.90	$139.69