Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.22 / $26.92	Professional		$10.00	$16.22	$26.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $15.85 / $50.12	Professional	26	$3.02	$15.85	$50.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $22.91 / $67.61	Professional	TC	$10.96	$22.91	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.84 / $44.67	Professional		$21.38	$28.84	$44.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.25 / $7.59 / $10.72	Professional	26	$5.25	$7.59	$10.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $21.38 / $33.11	Professional	TC	$16.22	$21.38	$33.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $25.70 / $38.02	Facility		$16.22	$25.70	$38.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $26.92 / $123.03	Professional		$9.33	$26.92	$123.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $2.69 / $7.24 / $87.10	Professional	26	$2.69	$7.24	$87.10
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $6.61 / $10.00 / $97.72	Professional	TC	$6.61	$10.00	$97.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $28.84	Professional		$26.92	$26.92	$28.84
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $7.94 / $7.94	Professional	26	$7.59	$7.94	$7.94
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $19.05 / $21.38	Professional	TC	$19.05	$19.05	$21.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.20 / $37.15	Professional		$23.44	$30.20	$37.15
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $5.62 / $7.59 / $8.32	Professional	26	$5.62	$7.59	$8.32
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $22.91 / $27.54	Professional	TC	$16.98	$22.91	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.88 / $32.36	Professional		$9.33	$12.88	$32.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.57 / $3.55 / $8.91	Professional	26	$2.57	$3.55	$8.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $6.61 / $9.33 / $23.44	Professional	TC	$6.61	$9.33	$23.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $38.90	Professional		$28.18	$36.31	$38.90
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $9.55 / $10.23	Professional	26	$7.41	$9.55	$10.23
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $26.92 / $28.84	Professional	TC	$20.89	$26.92	$28.84