Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $44.50	Professional		$15.30	$15.30	$44.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.34 / $32.93 / $65.86	Professional	26	$9.34	$32.93	$65.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.96 / $22.25 / $72.98	Professional	TC	$5.96	$22.25	$72.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.15 / $35.40 / $52.73	Professional		$26.15	$35.40	$52.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.25 / $20.95 / $30.76	Professional	26	$15.25	$20.95	$30.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $5.60 / $14.56 / $21.97	Professional	TC	$5.60	$14.56	$21.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $23.81 / $54.33	Facility		$22.53	$23.81	$54.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $37.33 / $130.47	Professional		$12.94	$37.33	$130.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.66 / $21.29 / $95.76	Professional	26	$7.66	$21.29	$95.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $5.28 / $8.52 / $95.76	Professional	TC	$5.28	$8.52	$95.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.60 / $40.86 / $51.20	Facility		$23.60	$40.86	$51.20
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $32.08 / $32.08 / $32.08	Facility	26	$32.08	$32.08	$32.08
Midlands Facility/Professional Facility Modifier TC Low / Median / High Price $19.13 / $19.13 / $19.13	Facility	TC	$19.13	$19.13	$19.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $35.51 / $40.86	Professional		$29.00	$35.51	$40.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $33.54 / $39.46	Professional		$22.85	$33.54	$39.46
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $14.63 / $20.43 / $23.29	Professional	26	$14.63	$20.43	$23.29
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $8.47 / $13.34 / $16.17	Professional	TC	$8.47	$13.34	$16.17
United Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $12.94 / $39.92	Professional		$12.19	$12.94	$39.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.99 / $7.66 / $26.12	Professional	26	$6.99	$7.66	$26.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $5.20 / $5.28 / $18.23	Professional	TC	$5.20	$5.28	$18.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $34.60 / $44.50 / $47.90	Professional		$34.60	$44.50	$47.90
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $20.39 / $26.30 / $28.30	Professional	26	$20.39	$26.30	$28.30
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $14.20 / $18.30 / $19.60	Professional	TC	$14.20	$18.30	$19.60