Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $45.71	Professional		$15.14	$19.05	$45.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $33.11 / $66.07	Professional	26	$10.96	$33.11	$66.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.08 / $22.39 / $72.44	Professional	TC	$7.08	$22.39	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $36.31 / $53.70	Professional		$26.30	$36.31	$53.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $21.38 / $31.62	Professional	26	$15.14	$21.38	$31.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $14.79 / $22.39	Professional	TC	$10.96	$14.79	$22.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $23.99 / $54.95	Facility		$22.39	$23.99	$54.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $35.48 / $131.83	Professional		$12.88	$35.48	$131.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $20.42 / $95.50	Professional	26	$7.59	$20.42	$95.50
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $5.25 / $7.94 / $95.50	Professional	TC	$5.25	$7.94	$95.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $37.15 / $37.15	Professional		$35.48	$37.15	$37.15
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $22.91 / $22.91	Professional	26	$20.89	$22.91	$22.91
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $14.79 / $14.79	Professional	TC	$14.45	$14.79	$14.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $34.67 / $39.81	Professional		$25.12	$34.67	$39.81
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $20.89 / $23.44	Professional	26	$15.49	$20.89	$23.44
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $9.77 / $14.13 / $16.22	Professional	TC	$9.77	$14.13	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.78 / $44.67	Professional		$12.30	$17.78	$44.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $10.47 / $26.30	Professional	26	$6.92	$10.47	$26.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $5.25 / $7.24 / $18.20	Professional	TC	$5.25	$7.24	$18.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $47.86	Professional		$34.67	$44.67	$47.86
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $26.30 / $28.18	Professional	26	$20.42	$26.30	$28.18
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $18.20 / $19.50	Professional	TC	$14.13	$18.20	$19.50