Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $21.52 / $21.52	Professional		$21.52	$21.52	$21.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.42 / $112.14 / $234.96	Professional	26	$16.42	$112.14	$234.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.09 / $5.09 / $5.09	Professional	TC	$5.09	$5.09	$5.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $51.82 / $72.62	Professional		$36.76	$51.82	$72.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.02 / $36.68 / $51.41	Professional	26	$26.02	$36.68	$51.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.74 / $13.42 / $21.22	Professional	TC	$10.74	$13.42	$21.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $52.62 / $180.45	Professional		$18.05	$52.62	$180.45
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.72 / $41.60 / $134.87	Professional	26	$13.72	$41.60	$134.87
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $4.33 / $11.68 / $45.58	Professional	TC	$4.33	$11.68	$45.58
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $54.76 / $54.76 / $54.76	Facility	26	$54.76	$54.76	$54.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.96 / $51.82 / $60.09	Professional		$39.96	$51.82	$60.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $49.90 / $57.57	Professional		$36.90	$49.90	$57.57
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $27.46 / $35.75 / $40.75	Professional	26	$27.46	$35.75	$40.75
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $9.44 / $14.30 / $16.82	Professional	TC	$9.44	$14.30	$16.82
United Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $18.05 / $61.30	Professional		$17.57	$18.05	$61.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.58 / $13.72 / $41.60	Professional	26	$12.58	$13.72	$41.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.33 / $4.99 / $15.08	Professional	TC	$4.33	$4.99	$15.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $65.00 / $69.90	Professional		$50.50	$65.00	$69.90
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $35.70 / $46.00 / $49.50	Professional	26	$35.70	$46.00	$49.50
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $14.80 / $19.00 / $20.39	Professional	TC	$14.80	$19.00	$20.39