Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $87.10	Professional		$39.81	$52.48	$87.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $67.61 / $93.33	Professional	26	$25.70	$67.61	$93.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $20.89 / $120.23	Professional	TC	$12.88	$20.89	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $147.91	Professional		$70.79	$97.72	$147.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $60.26 / $89.13	Professional	26	$42.66	$60.26	$89.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $34.67 / $57.54	Professional	TC	$27.54	$34.67	$57.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $53.70 / $478.63	Professional		$33.88	$53.70	$478.63
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $67.61 / $346.74	Professional	26	$22.39	$67.61	$346.74
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $11.48 / $17.38 / $331.13	Professional	TC	$11.48	$17.38	$331.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $100.00 / $100.00	Professional		$97.72	$100.00	$100.00
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $66.07 / $66.07	Professional	26	$60.26	$66.07	$66.07
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $32.36 / $38.02	Professional	TC	$32.36	$32.36	$38.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $109.65	Professional		$67.61	$95.50	$109.65
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $60.26 / $66.07	Professional	26	$44.67	$60.26	$66.07
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $37.15 / $42.66	Professional	TC	$25.70	$37.15	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $45.71 / $114.82	Professional		$33.11	$45.71	$114.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $30.20 / $75.86	Professional	26	$20.42	$30.20	$75.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.48 / $15.85 / $39.81	Professional	TC	$11.48	$15.85	$39.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $131.83	Professional		$95.50	$123.03	$131.83
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $75.86 / $81.28	Professional	26	$58.88	$75.86	$81.28
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $47.86 / $51.29	Professional	TC	$37.15	$47.86	$51.29