Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $45.71 / $67.61	Professional		$21.88	$45.71	$67.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $39.81 / $81.28	Professional	26	$5.01	$39.81	$81.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $69.18 / $147.91	Professional	TC	$25.12	$69.18	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $58.88 / $91.20	Professional		$43.65	$58.88	$91.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $11.75 / $16.98	Professional	26	$8.32	$11.75	$16.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $46.77 / $72.44	Professional	TC	$35.48	$46.77	$72.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $52.48 / $81.28	Facility		$33.88	$52.48	$81.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $52.48 / $263.03	Professional		$18.62	$52.48	$263.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $4.17 / $11.48 / $144.54	Professional	26	$4.17	$11.48	$144.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $21.88 / $223.87	Professional	TC	$14.45	$21.88	$223.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $58.88	Professional		$52.48	$52.48	$58.88
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $12.30 / $12.30	Professional	26	$11.75	$12.30	$12.30
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $39.81 / $46.77	Professional	TC	$39.81	$39.81	$46.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $61.66 / $74.13	Professional		$44.67	$61.66	$74.13
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $11.48 / $12.88	Professional	26	$8.51	$11.48	$12.88
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $50.12 / $58.88	Professional	TC	$33.88	$50.12	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $24.55 / $61.66	Professional		$18.62	$24.55	$61.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.98 / $5.89 / $14.79	Professional	26	$3.98	$5.89	$14.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $18.62 / $48.98	Professional	TC	$14.45	$18.62	$48.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $72.44 / $77.62	Professional		$56.23	$72.44	$77.62
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $14.45 / $15.85	Professional	26	$11.22	$14.45	$15.85
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $58.88 / $63.10	Professional	TC	$45.71	$58.88	$63.10