Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $10.94 / $16.34	Professional		$10.94	$10.94	$16.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.28 / $16.02 / $32.04	Professional	26	$3.28	$16.02	$32.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.66 / $33.82 / $67.64	Professional	TC	$7.66	$33.82	$67.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $28.91 / $43.06	Professional		$21.35	$28.91	$43.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.23 / $7.58 / $25.20	Professional	26	$5.23	$7.58	$25.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $7.00 / $20.16 / $32.51	Professional	TC	$7.00	$20.16	$32.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $25.50 / $38.40	Facility		$16.23	$25.50	$38.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $28.93 / $122.00	Professional		$9.25	$28.93	$122.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $2.68 / $7.42 / $87.52	Professional	26	$2.68	$7.42	$87.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $6.57 / $20.92 / $97.85	Professional	TC	$6.57	$20.92	$97.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $34.11 / $74.91	Facility		$18.98	$34.11	$74.91
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $27.51 / $27.51 / $27.51	Facility	26	$27.51	$27.51	$27.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.75 / $29.11 / $36.00	Professional		$26.75	$29.11	$36.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $28.37 / $37.71	Professional		$19.80	$28.37	$37.71
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $5.03 / $7.38 / $8.41	Professional	26	$5.03	$7.38	$8.41
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $14.21 / $20.99 / $31.43	Professional	TC	$14.21	$20.99	$31.43
United Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $9.78 / $46.14	Professional		$9.25	$9.78	$46.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.60 / $2.68 / $8.90	Professional	26	$2.60	$2.68	$8.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $6.57 / $7.19 / $23.24	Professional	TC	$6.57	$7.19	$23.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.40 / $36.50 / $39.29	Professional		$28.40	$36.50	$39.29
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $7.40 / $9.50 / $10.19	Professional	26	$7.40	$9.50	$10.19
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $21.00 / $27.00 / $29.00	Professional	TC	$21.00	$27.00	$29.00