Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $416.87 / $660.69	Professional		$316.23	$416.87	$660.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $162.18 / $524.81	Professional	26	$120.23	$162.18	$524.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $281.84 / $812.83	Professional	TC	$204.17	$281.84	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $1,174.90	Professional		$562.34	$741.31	$1,174.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $181.97 / $251.19 / $380.19	Professional	26	$181.97	$251.19	$380.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $389.05 / $501.19 / $794.33	Professional	TC	$389.05	$501.19	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $398.11 / $2,754.23	Professional		$257.04	$398.11	$2,754.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $245.47 / $891.25	Professional	26	$91.20	$245.47	$891.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $251.19 / $1,862.09	Professional	TC	$165.96	$251.19	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $741.31	Professional		$707.95	$707.95	$741.31
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $245.47 / $269.15 / $269.15	Professional	26	$245.47	$269.15	$269.15
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $436.52 / $436.52 / $501.19	Professional	TC	$436.52	$436.52	$501.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $724.44 / $831.76	Professional		$436.52	$724.44	$831.76
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $181.97 / $245.47 / $269.15	Professional	26	$181.97	$245.47	$269.15
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $489.78 / $562.34	Professional	TC	$309.03	$489.78	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $831.76	Professional		$257.04	$331.13	$831.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $123.03 / $309.03	Professional	26	$83.18	$123.03	$309.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $204.17 / $524.81	Professional	TC	$165.96	$204.17	$524.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $1,000.00	Professional		$724.44	$933.25	$1,000.00
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $239.88 / $302.00 / $331.13	Professional	26	$239.88	$302.00	$331.13
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $489.78 / $630.96 / $676.08	Professional	TC	$489.78	$630.96	$676.08